Pharmacy Residency

Handbook

2017 2018

Table of Contents Page

Number

Introduction

Welcome from Director of Pharmacy 1

Table 1. 2017-2018 Important Residency Related Dates 2

History of NHRMC 4

NHRMC Organizational Chart 5

Department of Pharmacy Organizational Chart 6

NHRMC Mission Statement, Values, and Standards of Performance 7

Residency Program Definitions 8

Residency Advisory Committee (RAC) 9

General Information

Benefits 10

Resident Parking 12

Communications 12

CapsulesLive 12

Policy Stat 13

Drug Information Resources 13

Photocopying 13

Common Drive 13

Resident Expectations and Responsibilities

Professional Conduct 14

Professional Dress 14

Employee badge 14

Patient Confidentiality/HIPPA 14

Attendance 14

Kronos 15

Pharmacy Licensure 15

General Program Overview

Orientation 16

Longitudinal Research/Quality Improvement Project 16

Longitudinal Practice Components

Inpatient Service

Outpatient Service

Discharge Transitions of Care Service

17 17 18

Longitudinal Education Activities 18

Longitudinal Writing Activities 18

Plagiarism 19

Resident evaluations 19

Rotations 21

Community Outreach 22

Chain of Command 22

Time Away 22

Participation in Residency Recruitment 23

Department Council/Committees 23

Interdisciplinary Committees 23

Preceptors

Resident Mentor Experience 24

Preceptor Expectations and Responsibilities 25

New Preceptor Qualifications and Responsibilities 27

Residency Processes and Policies

Project process

Project approval form

30 33

Manuscript process 34

Chief resident 38

Resident professional funds allocation 39

RP 1.0 Licensure 40

RP 2.0 Travel 42

RP 3.0 Resident leave

Resident Leave Request Form

45 47

RP 4.0 Early commitment for PGY2 programs 48

RP 5.0 Completion of program requirements 51

RP 6.0 Duty hours/moonlighting

Pharmacy Specific Duty Hours Requirements For the ASHP Accreditation Standards for Pharmacy Residencies

53 55

Appendices

Pharmagram 58

Presentation evaluation form 60

Education Forum (ED forum)

Schedule

Journal club standard work

61 62

Continuing education (CE) standard work 63

Schedules

All programs master rotation schedule

Discharge transitions schedule

LEAD curriculum schedule

Sample monthly meeting schedules

67 68 80 81

NI/SP/ACH/ACHR designations 82

Pre-rotation approval form 83

Customized training plan and progression summary for each program 85

July1,2017Onbehalfofthedepartmentofpharmacy,IwouldliketowelcomeyoutoNewHanoverRegionalMedicalCenter.ThemissionofNewHanoverRegionalMedicalCenteristoleadourcommunitytooutstandinghealthandwearecommittedtoourpillargoalsofownership,teamwork,communication,andcompassion.Tohelpachievethemissionandpillargoals,thepharmacydepartmentisanintegralpartofpatientcareatourorganization.Pharmacystaffhavecloseworkingrelationshipswithpatients,nurses,prescribers,andotherhealthcareprofessionals,andparticipateindevelopingcareplansthroughoutthecontinuumofcare.Ourpharmacydepartmentiscommittedtoprovidingoutstandingpostgraduateresidencytrainingprograms.Throughourprogram,youwilldevelopskillstobecomeaclinician,educator,andleaderinthepharmacyprofession.Asthearea'sreferralcenter,NHRMChasahighlydiversepatientpopulationwhichwillenableyoutoencounterawidevarietyofdiseasestatesandconditions.Additionally,NHRMCisagreatblendofacommunityandacademicmedicalcenter.Ouraffiliationwithstatecollegesofpharmacywillprovideyoutheopportunitytoexperienceavarietyofdifferentteachingenvironments,fromsmallgroupdiscussionstorotationprecepting.Ourpreceptorsareactivelyengagedintheresidencyprogram,andarereadytoserveasmentorsandrolemodels.Mostofourpreceptorsareboardcertified,andmanyareinvolvedinregional,state,andnationalprofessionalorganizations.Theyearaheadofyouwillbeabusy,challengingyear,butIamconfidentthatyouwillgreatlybenefitfromtheskillsyouacquireduringyourresidencyprogram.AstheDirectorofPharmacy,Iwillbeavailableatanytimetohelpyoureachyourhighestpotential.Ilookforwardtoworkingwithyouandwatchingyourdevelopmentandsuccessthroughouttheyear. Sincerely, EddieSeijo,PharmD DirectorofPharmacyServices NewHanoverRegionalMedicalCenter

1

Date Topic

Thursday, July 13, 2017 PGY1 Pharmacy Residency Project selections due to RPD

Friday, July 14, 2017 PGY1 Pharmacy residency track to PGY1 RPD

Thursday, July 27, 2017 PGY1 Committees due to PGY1 RPD (will discuss in LEAD)

Friday, July 28, 2017 PGY1 Pharmacy Concentrated elective decisions due to RPD

Friday, August 04, 2017 Residents offsite at Campbell for PACT program (day 1)

Tuesday, August 08, 2017 PGY1 pharmacy and PGY1 Community mentor decision due to RPDs

Friday, August 18, 2017 Project approval form due to RPD

Thursday, August 24, 2017 Community service update to RPDs (will discuss in LEAD)

Thursday, August 31, 2017 Pharmacy Resident Licensure deadline

Monday, September 04, 2017 Resident holiday: Labor Day

Thursday, September 21, 2017 Community Outreach event idea presented to RPDs

Thursday, September 21- Friday

September, 22 2017

NHRMC Cardiac Symposium

Friday, September 22-

Monday, September 24 2017

NCAP Convention, Benton Convention Center, Winston-Salem, NC

Saturday, September 23, 2017 NCAP Residency showcase, Benton Convention Center, Winston-Salem, NC

Saturday, September 30, 2017 End of first quarter (July 1 - Sept 30)

Sunday, October 01, 2017 ASHP poster abstracts due

Thursday, October 05, 2017 Resident provided CE at 0700 and 1500

Saturday, October 7-

Tuesday October 10, 2017

ACCP meeting, Phoenix, AZ

Friday, October 13, 2017 Residents offsite at Campbell for PACT program (day 2)

Friday, October 13, 2017 IRB application due-suggested

Sunday, October 15, 2017 NHRMC PGY2 early commitment deadline

Thursday, November 02, 2017 Resident provided CE at 0700 and 1500

Friday, November 17, 2017 ASHP posters due to RPD for printing

Thursday, November 23-

Friday November 24, 2017

Resident holiday: Thanksgiving day and Friday after Thanksgiving

Thursday, November 30, 2017 Resident provided CE at 0700 and 1500

Sunday,December 3-

Thursday ,December 7, 2017

Residents offsite ASHP Midyear Convention, Orlando, FL

Friday, December 15, 2017 Residents off site (12-4:30) Fall retreat

Friday, December 15, 2017 2018 Pharmacy license deadline- must submit to Diane Graham by this date

Monday, December 25, 2017 Resident holiday: Christmas day

Sunday, December 31, 2017 End of second quarter (Oct 1 - Dec 31)

Monday, January 01, 2018 Manuscript topic and ALL co-authors due to respective RPD

Monday, January 01, 2018 NHRMC Phorcas application deadline

Monday, January 01, 2018 Resident holiday: New Year's Day

Thursday, January 04, 2018 Resident provided CE at 0700 and 1500

Mid Jan- Feb 2018 NHRMC Onsite Residency applicant interviews

Thursday, February 01, 2018 Manuscript background and methods due to respective RPD

Tuesday, February 06, 2018 Spring community service ideas presented to RPDs

Thursday, February 15, 2018 Early REPs registration due

Sunday, February 25-

Wednesday, February 28, 2018

SCCM, San Antonio, TX

Thursday, March 01, 2018 Resident provided CE at 0700 and 1500

Thursday, March 15, 2018 Manuscript- 1st draft due to primary preceptor

Friday, March 16, 2018 Match Day

Friday, March 16-19 Mar APhA Annual Convention, Nashville, TN

Thursday, March 22, 2018 Resident provided CE at 0700 and 1500

Sunday, March 25, 2018 Manuscript- Feedback due to resident from preceptor

Saturday, March 31, 2018 End of third quarter (Jan 1 - Mar 31)

Sunday, April 01, 2018 Manucript-2nd draft due to all authors

Thursday, April 05, 2018 Resident provided CE at 0700 and 1500

Table 1: 2017-2018 Important Residency Related Dates

2

Tuesday, April 10, 2018 Manucript- All co-author feedback due to resident

Sunday, April 15, 2018 Manuscript- Final manuscript due to RPD for RAC review

Mid April 2018 REPs abstract, slide deck and CV due

Wednesday, April 25, 2018 Manuscript- RAC reviewer feedback due to resident and coauthors

Thursday, April 26, 2018 Resident provided CE at 0700 and 1500

Tuesday, May 01, 2018 Final manuscript submission to peer reviewed publication

Thursday, May 03, 2018 Resident provided CE at 0700 and 1500

Friday, May 18, 2018 Spring Resident retreat (off site)

Mid May 2018 Research in Education Practice Symposium (REPS), Chapel Hill, NC

Monday, May 28, 2018 Resident holiday: Memorial Day

Thursday, May 31, 2018 Resident provided CE at 0700 and 1500 (Rain date if needed)

Saturday, June 2 -

Wednesday, June 6, 2018

ASHP Summer Meeting

Early June 2018 Regional SCCM meeting (Carolinas/Virginas Chapter)

Thursday, June 14, 2018 6th Annual Pharmacy Resident Research Day

End of June 2018 Graduation/Exit interviews

Monday, June 25, 2018 Laptops due to RPDs

Saturday, June 30, 2018 End of fourth quarter (April 1 - June 30)

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HistoryofNewHanoverRegionalMedicalCenterNewHanoverMemorialHospitalopenedJune14,1967,mergingJamesWalkerMemorialHospitalandCommunityHospitalandusheringinthemodernhospitalerainWilmington.Thehospitalopenedwith352bedsand,asitattractedphysicianswithawiderangeofspecialtyskills,addedthreefloorsin1979andgrewintothereferralhospitalforSoutheasternNorthCarolina.In1991,recognizingitsroleinregionalhealthcare,theBoardofTrusteesrenamedthehospitalNewHanoverRegionalMedicalCenter.In1998,theMedicalCentermergedwithCapeFearHospital,creatingNewHanoverHealthNetwork.Oneyearlater,anoperatingagreementwithPenderMemorialHospitaladdedtheBurgawHospitaltothenetwork.NHRMCacquiredNewHanoverCountysemergencymedicalservicesin1998andaddedtheregionsfirstairambulanceservicein2001,aroundthesametimeittookanationalleadindisasterresponseplanning.Oneyearlater,NewHanoverRegionalEMSbecamethestatesfirstmodelEMSsystem.Afreestandingcancercenteropenedin2001,andtwoyearslaterthecancerprogramwasdesignatedanationalTeachingHospitalProgrambytheAmericanCollegeofSurgeonsCommissiononCancerandredesignatedin2008.In2005,theBoardofTrusteesapprovedwhatwouldbethelargestbuildingandrenovationprojectinthehospital'shistory.TheprojecthasincludedtheopeningofaSurgicalPavilioninJuneandtheBettyH.CameronWomen'sandChildren'sHospitalinSeptember2008.Thenextphaseincludedthetopdownrenovationofthemainpatienttowertoincludenearlyallprivateroomsandredesignedspacestomakepatientsandtheirfamiliesmorecomfortable.TherenovationwascompletedinDecember2010.Today,NewHanoverRegionalMedicalCenterincludesthreehospitalcampusesandislicensedfor855beds.NewHanoverRegionalMedicalCenteristheprimaryreferralhospitalintheregion,withspecialtycentersincardiac,cancer,obstetrics,trauma,vascularsurgery,intensivecare,rehabilitation,andpsychiatry.In1998,NewHanoverRegionalandCapeFearHospitalmerged.CapeFearnowoperatesasNHRMCOrthopedicHospital.ThemedicalcenteroperatesPenderMemorialHospitalandhasinvestedinthathospitalscontinuedgrowth.Themedicalcenterhasconsistentlyexpandedservicesintothesurroundingregion,toincludeconstructionofNHRMCEDNorth,astandaloneemergencydepartmentthatopenedinMay2015.NewHanoverRegionalreceivesnolocaltaxsupportforitsoperationsandwillcontributeabout$145millionannuallytocareforthepoor.Asitsserviceshavegrown,sohasitsroleinthisregionseconomy.Includingpersonnelcostsandgoodsandservicespurchased,themedicalcentertodayhasanimpactofmorethan$1billionannuallyontheeconomyofNewHanoverCountyalone.Earlyinitshistory,NewHanoverRegionalMedicalCentersoughttopartnerwithteachinghospitalsandoffergraduatemedicaleducation.ThehospitalhasbeenaffiliatedwiththeUniversityOfNorthCarolinaSchoolOfMedicineatChapelHillsince1970.Asthestatedevelopedteachingcenterstosupportthedevelopmentofphysicians,theSoutheasternAreaHealthEducationCenter(SEAHEC)beganin1973,basedattheMedicalCenter.Thereisafacultyexchange,withphysiciansfromUNCcomingtoNewHanoverRegionalandviceversa.SEAHECprovidesfaculty,staff,officesandconferencesrooms,audiovisualequipment,andtheRobertM.FalesM.D.HealthSciencesLibraryinsupportofGraduateMedicalEducation.NewHanoverRegionalMedicalCentercurrentlyoffersaoneyearresidencyinclinicalpastoraleducation,athreeyearresidencyinInternalMedicine,athreeyearresidencyinFamilyMedicine,afouryearresidencyinObstetrics/Gynecology,afiveyearGeneralSurgeryresidency,andoneyearpharmacyresidenciesinPGY1Pharmacy,PGY1Community,PGY2AmbulatoryCareandPGY2CriticalCare.Seehttps://www.nhrmc.org/about/historyforadditionalinformation

4

NHRMCBOARD OF TRUSTEES

President and CEO

John Gizdic

Internal Audit

Ernst & Young VP Legal Affairs

Lori Feezor

Corporate Compliance

Vera Newkirk

Risk Management

Laura Festa

Executive VP/

Chief Financial

Officer

Ed Ollie

VP Revenue

Cycle

Operations

Tim Pollard

Materials

Management

Bruce Kavenaugh

Patient Financial

Services

Deb ONeill

Reimbursement

Bill Melvin

HIMS

Jeannie Wisniewski

NHRMC Foundation Executive

Director and VP Development

Schorr Davis

Physician

RelationsKathy Gresham

Executive VP Hospital

Division

Andre Boyd

Sr VP/Chief

Nurse Executive

Mary Ellen

Bonczek

Chief Medical

Officer

Clyde Harris, MD

VP Regional &

Specialty Services

David Parks

VP Facilities

Services

Tom Walsh

Emergency &

Transport

Services

Vacant

Spine CenterPatient Safety

Johnsie Davis

VP Patient

Services

Amy Akers

Radiation

Oncology

PQP

Lydia Newman

Medical Staff

Office

Helen Coleman

VP GME/

Executive

Director

SEAHEC

Joseph Pino,

MD

Cardiology

Janet Delucca/

Grant Rush

Laboratory

Services

Kevin Briggs

Imaging

Services and

Health &

Diagnostics

Joshua Tucker

Director/Chief

EMS

Rick ODonnell

N e w H a n o v e r R e g i o n a l

M e d i c a l C e n t e r

NHRMC Home

Care

Catherine

Blankenship

Womens &Childrens Services

Barbara Buechler

Inpatient Chief

Medical

Information

Officer

Gregory Hall, MD

Anesthesia

Adult Health

Gabby Pike

Clinical

Informatics

Jane Both

LEAN

Director

Greg

Firestone

Emergency

Dept.

Christy Spivey

VP/Chief

Information

Officer

Joe Norris

Enterprise

Applications

Heather Thornton

Business

Applications

Ashlye Hernandez

Chief Technology

Officer

John Tuman

Telecom Call

Center and Mobile

Communications

Richard Cheshire

Enterprise Data

Management

Julie Barker

Infrastructure

Services

Vacant

VP Human

Resources

Keith Strawn

Human

Resources

Operations

Jennifer

Creamer

Compensation/

Benefits and

HRIS

Karen Curran

Employee

Health

Jerry Burleson

Organizational ChartNHRMC Board of Trustees

Approved 8/23/16

EFFECTIVE 1/1/17

VP and

Controller

Brad Vass

Accounts Payable

Payroll

Accounting

Finance Reporting

PMH President

Ruth Glaser

Enterprise Media

Technology

Geoff Honaker

IS Controller Budget

Management

Elaine Sammons

Chief Security

Officer

Eddie Parrish

Strategic

Applications

Sherry Reeves

Spiritual Care

Marty Aden

AVP/Admin.

Behavioral

Health

Hospital

Karen Pleva

Administrator of

Surgical Services

Jeff Roos/Matt

Huberty

Administrator of

Oncology

Services

Henry Hawthorne

Surgical Services

New Hanover

Atlantic

Surgicenter

Zimmer

Brunswick

16th Street

Accreditation

Tammy Eisel

Auxiliary &

Volunteer

Services

Eileen

McConville

Environmental

Services

Rich McCormick

Plant

Operations,

Safety Services

& BioMed

David

Bellegante

Construction

Services

Brian Turner/

Taylor Simms

Special Police

Services

Jim Rodenberg

Food and

Nutrition

Melanie Yumor

Orthopedic

Hospital

Administrator

David Oehler

Organizational

Operations

Sarah Brannan

Rehabilitation

Services Inpatient and

Outpatient

Leslie Kesler

Pharmacy

Eddie Seijo

OB/GYN, Med/

Surg and

Clinics &

Coastal Family

Medicine

Mimi Jones

Clinical Research

Lynette

McFayden

Neurosciences

& Respiratory

Care

Kerry Lamb

Operations

Center & Patient

Throughput

David Long

Clinical

Resources

Pam Hagley

ICP

Cheryl Schmitter

Prof Dev

Holly Reynolds

Admin.

Community

Relations

Scott Whisnant

Business Dev.

& Planning

Vacant

Marketing &

Public

Relations

Martha Harlan

Analytics

Vacant

VP Strategic

Services

Kristy Hubard

EVP/Chief Physician

Executive

Philip Brown, MD

VP Physician

Network

Dan Goodwin

VP Clinical

Integr. &

Informatics

Amy Messier, MD

VPMA

Bob Lubanski, MD

VP Clinical

Support Services

Laurie Whalin

Critical Care

Transport Director

John Popella

Emergency

Management

Mark Bennett

Carolina Healthcare

Associates

(CHA)

Melissa Davis / Michele Miller

Trauma Services

Tom Clancy, MD

Chief Quality

Officer

Thaddeus

Dunn, MD

Clinical

Outcomes

Sue Ballato

PAL

Kellee Carr

Dept. of

Education

RCS

Bob Hardyman

Patient Access

Sandy Baker

Forecasting

PMH Financial

Officer

Medical

Oncology

Zimmer

CFCS

CFCS Brunswick

Onslow

Oncology

GYN/Surgical

Oncology

Oncology Support

Svcs

5

LastupdatedJanuary2017

DirectorofPharmacyEddieSeijo,Pharm.D.

InpatientOperationsSusanCosby

Counter,OR,WCPharmacists

Eveningshiftpharmacists

NightShiftPharmacists

EDNorthPharmacists

NHRMCOrthohospital

MedicationSafetySharonSmith

Manager,RegulatoryTufan

Nardali

PharmacyTechniciansupervisor

PharmacyTechnicians

BusinessManagerDanelleMcNeil

Procurementteam

OutpatientPharmacy

MikeEdgerton

OutpatientPharmacy

Discharge

MedicationAssistance

AutomationTomSmith

DirectPatientCareMarianneBilleter

ICU/EDPharmacist

DayshiftTowerPharmacists

Ambulatory/TOCPharmacists

Zimmer

ResidencyPrograms

AdministrativeAssistants 340Bcompliance

6

NHRMCMissionStatementandValuesMissionStatementLeadingourcommunitytooutstandinghealthValues EverymemberoftheNHRMCteamembracesthefollowingvaluesasthefoundationoftheexcellentcareweprovide.

Compassion Wearecommittedtomeetingyouandyourlovedones'needswiththehighestcompassion,careandcourtesy.

Ownership Eachteammemberactsresponsiblyandtakesprideincarryingouthisorherroleinourorganization.

Teamwork Weshareacommonpurposeservingourpatients,theirlovedonesandourcommunityandcollaborateasateamtomeetthisgoal.

Communication Weencourageopencommunicationthroughlisteningtoourpatients,familiesandoneanothertobettermeettheirneeds.

NHRMCStandardsofPerformance

Teamwork:Wehaveacommonpurposeservingourcommunity.Ourcoworkersareour teammates.Witheveryonecontributingourjobperformancewillexcel. Ownership:Eachemployeeisresponsiblefortheoutcomeofhisorhereffortsand actions.Ourworkisareflectionofourselvesascaringprofessionals. Communication:Welistentoourcustomersandteammatestofullyunderstandtheirneeds. Ourmessagesshouldbedeliveredwithcourtesy,clarity,andcare. Compassion:Ourdesireistomeetourcustomersneedswiththeutmostcompassion,care, andcourtesy.

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ResidencyProgramDefinitionsFortheNHRMCDepartmentofPharmacy,thefollowingresidencyprogramdefinitionsapply:ResidencyProgramCoordinator:personresponsibleforoverallcoordinationofallpharmacyresidencyprogramsatNHRMC.ResidencyProgramDirector(RPD):personresponsiblefortheactivitiesofaparticularresidencyprogram.Theseactivitiesinclude,butarenotlimitedto,residencyrecruitmentandschedulingresident'srotations.Theresidencyprogramdirectorisalsoresponsibleforcompletingresidencyquarterlyreports.ResidencyMentor:personwhoisactsasaprofessionaladvisortoresident.SeeMentorProcessdocumentforadditionalmentorinformation.Preceptor:personassignedtoeducateandtrainaresidentwithinapracticeareaorareaofexpertise.SeePreceptorExpectationsdocumentforadditionalinformation.ResidencyAdvisoryCommittee(RAC):Thecommitteegovernstheresidencyprograms.ThecommitteeiscomprisedofPGY1RPD,PGY1CommunityRPD,PGY2AmbulatoryCareRPD,PGY2CriticalCareRPD,PharmacyOperationsManager,ClinicalManager,DirectorofPharmacyandpharmacypreceptorfromwithinthepharmacydepartment,pharmacypreceptorfromoutsideofthedepartmentandapharmacystaffmemberwhowillactasanadhocmember,asneeded.ThecommitteeischairedbytheResidencyProgramCoordinatorandmeetsmonthlytoreviewanddiscusstheprogressoftheresidents.Interactivefeedbackwithinthecommitteeisutilizedtoguidetheresidentinhis/hercurrentandupcomingresidencyactivitiesandtoprovideadditionalguidanceintheresidentspharmacypractice.Thecommitteewillrecommendmodificationstotheresidentsscheduleasneeded.MembersoftheRACareexpectedto:

Actasanadvocateforresidents Provideexpertisefortheresidencyproject(whenpossible)oridentifyotherappropriate

resources Providefeedbackandsuggestionsonimprovingcurrentrotationsites,aswellas

identifyingfuturepotentialrotationsites Providefeedbackandsuggestionsonthecurrentstructureoftheresidencyprogram,

andofferpossibilitiesforfuturedirectionSeeNHRMCRACPurposedocumentforadditionalinformation.

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NewHanoverRegionalMedicalCenterPharmacyResidencyAdvisoryCommittee(RAC)

Purpose:ThepurposeoftheResidencyAdvisoryCommittee(RAC)istoreviewandensureresidentprogressionthroughouttheresidencyyear,provideguidanceonissuesregardingtheresidentorresidenciesandtoserveasthedecisionmakingbodywithregardstoallresidencyprograms.

Responsibilitiesandfunctions: Actsasanadvocateforresidents Monitorsresidentprogressionasitrelatestorotations,longitudinalandresidency

requirementsandprofessionalism Approvesresidentperformanceimprovementplansoranyactionplanthatneeds

implementedforsuccessfulcompletionoftheresidencyprogram AssuresthateachresidencyprogramisalignedwiththemissionandvisionofbothNew

HanoverRegionalMedicalCenterandtheDepartmentofPharmacy Adherencetoorganizationand/orresidencypolicyandprocedures AdherencetoASHPaccreditationstandards Reviewsandmaintainsthequalityandintegrityofeachresidencyprogram Approvesmajorprogrammaticchanges Continualqualityimprovementspecifictoeachresidency Providesguidancetoresidentsandresidentpreceptorsonissuesrelatingtoresidency

training Otherdutiesdeemednecessarybythecommittee

Membership:TheroutineRACiscomprisedofallResidencyProgramDirectors(RPDs),DirectorofPharmacy,PharmacyManagerofOperations,ClinicalManager,and onedepartmentresidentpreceptor.Additionally,onenonpreceptorstaffpharmacistwillattenduponrequestoftheRACwhenthereisadisciplinaryissuetobeaddressed.

Meetingsandminutes:TheRACwillmeettwotimeseachmonth,onemeetingwillfocusonresidencybusinesswhereabbreviatedminuteswillberecorded,andthesecondmeetingsolelyfocusingonresidentprogression.TheRACcanmeetmorefrequency,asneeded.Meetingminutesandupcomingagendaswillbedistributedviaemail,priortotheupcomingmeeting.

Created:September2014,updatedMay2017

9

GENERALINFORMATION

BenefitsResidentStipend: $48,506.40

PaidDaysOff:Pharmacyresidentsreceiveatotalof20paiddaysoff(PDO).Inaccordancewithhospitalpolicy,PDOcanonlybeusedforafull8hourshift(iehalfdaysoffwillbenotbepermitted).PDOdoesnotincludethedayPGY1PharmacyandPGY2CriticalCareresidentsaretotakeoffduetoworkingaweekendshift.

o Thistimeoffincludespersonaltime.Forbereavementleave,3daysabsencewithpaywillbegrantedforadeathintheimmediatefamilyaspertheorganizationsFuneralLeavepolicy(HRPolicyNo28).Jurydutywillfollowhospitalpolicy.

o ResidentsmustsubmitaleaverequestformperthepolicyforallPDO,includingholidays.ItisrecommendedthatresidentsplantousetheirPDOsthroughouttheyearandnotwaittotakeallthetimeattheendoftheresidencyyear.Refertotheresidentleavepolicyregardingmaximumnumberofdaysoffthatcanbetakenduringarotationwithoutaremediationplan.AnyunusedPDOattheendoftheresidencyisnotrefundable.

o UnscheduledPDO:ResidentsmustcommunicatedirectlywiththeirpreceptorANDtheirRPDwhentheyareunabletocometowork.Email,voicemail,ortextmessagingarenotconsideredappropriatecommunication.IfaresidentmusttakeunscheduledPDOwhentheyhaveadischarge,inpatientstaffing,oroutpatientstaffingshift,theymustalsocommunicatewiththemanageroncall.FailuretoreporttoworkwillresultinaperformanceimprovementplanasoutlinedintheProcedureforDisciplinaryAction.

ProfessionalAllowance:MoniesareavailabletoattendtheASHPmidyearmeeting,andaregionalresidencyconferencepertheresidencyrelatedtravelpolicy.Residentsmayrequestadditionalfunding(PGY1:$500,PGY2$1000)toattendanadditionalconferenceiftheresidentisrepresentingNHRMCviaaplatformorpostersession.PleaseseethePharmacyResidencyProfessionalEducationFundsProcessforadditionaldetailsandexclusions.

HealthInsurance:NHRMCpaysthebiweeklypremiums(payrolldeductions)forresidentsandtheireligibledependents.Thecoverageiseffectivethefirstofthemonthfollowingthedateofhire.TheplanisaPreferredProviderOrganization(PPO),andinnetworkbenefitsareprovidedthroughacomprehensivenationalnetwork.Forspecificplandesigninformation,pleaserefertotheplandescriptionorEmployeeBenefitsHandbook.

DentalInsurance:NHRMCoffersdentalinsurancecoveragethatpaysforpreventive,basic,andmajordentalcareforresidentsandtheireligibledependents.Thereisnonetworkofdentists,andbiweeklydeductionsaretakenonapretaxbasis.

VisionInsurance:ResidentsmayelecttoparticipateinNHRMCsoptionalVisionCarePlanatthefollowingcoveragelevels:(1)employeeonly,(2)employeeplusonedependent,or(3)family.Theplanoffersanetworkofvisioncareprovidersfromwhichtochoose.

LongTermDisability(LTD):NHRMCprovidesfulltimeemployeeswhoareregularlyscheduledtoworkatleast32hoursperweekwithLTDinsuranceatnocharge.LongTermDisabilityprovides60%replacementofbasesalary,nottoexceed$20,000permonth,beginningonthe91stdayofanapproveddisability.

10

ResidentsmaychooseaBuyUpOptionthatprovidesabenefitbeginningonthe61stdayofanapproveddisability.

LifeInsurance:NHRMCprovidesresidentswithlifeinsuranceintheamountof$10,000uptoage65.(Coverageafterage65isbasedonpercentagereductionsasdefinedinthePlanSummary).Inaddition,residentsmaypurchaseonetofivetimestheirbaseannualsalaryinsupplementallifeandAD&Dinsurance,dependentlifeinsuranceand/orspousallifeinsurance.

JackBartoEmployeeCenterforEmployeeFitness.ResidentsareeligibletoaccesstheNHRMCstateoftheartfitnesscenter.Thecenterisopen24hours,sevendaysaweekexclusivelyforemployeesandtheireligibledependents.Thefitnesscenterhascardio,strengthandconditioningequipmentavailableaswellasanindoorwalking/runningtrackandgroupexerciseclasses.ItislocatedonthecornerofIndependenceandShipyardBlvd.Thecostforemployeesisjust$5perpayperiodor$10perpayperiodforafamilymembership.AllNHRMCemployeeshavetheabilitytoenrolltousethecenterimmediatelyfollowingtheirhiredate.Moreinformationisavailableat:http://www.nhrmc.org/fitnesscenter

OutpatientPharmacy:TheOutpatientPharmacyisavailableforuseforallemployeesseenbyaqualifiedNHRMCprovider.TheOutpatientpharmacyisopenMondayFriday8:00AM7:00PMandSaturdayandSunday,9:00AM5:00PM.ThepharmacyislocatedonthefirstfloorofthemaintowernexttotheGiftShop.Pleaseseehttp://www.nhrmc.org/outpatientpharmacyformoredetails.Aselectionofdiscountedoverthecounterproductsmayalsobepurchasedfromthepharmacy.

EmployeeHealthClinic:Thereisaclinicinemployeehealthwhichprovidesconvenientandaffordablemedicalcaretoemployees.Itisopenfrom06001800MondaythroughFridayandvisitscost$10viabadgededuction.Appointmentscanbescheduledorwalkinsareaccepted.Moreinformationisavailableat:http://newcaplive/caplive/body.cfm?id=4004

CounselingandSupportServices:NHRMCprovidesallofitsresidentswithaconfidential,professionalcounselingserviceinanEmployeeAssistanceProgramorEAP.Theprimarypurposeofthisbenefitistoprovideaservicethatidentifiesandassistsresidents,andmembersoftheirimmediatefamily,withpersonalproblemsthatmayinterferewiththeresident'sjobperformance.Residentsandtheireligiblefamilymemberscanreceiveuptofivecounselingsessionsperperson,perissue,percalendaryearatnocost.TheEAPprovidesconfidentialassessmentandcounselingbyanindependent,offsiteprofessionalcounselingservice.AresidentmayaccessEAPservicesvia:

o selfreferraltooffsiteprofessionalcounseling(callext.7445formoredetailsoraccesshttp://www.nhrmcbenefits.com/health_benefits/employee_assistance_program.php?expandable=3)

o throughtheEmployeeHealthServiceo throughtheResidencyProgramDirector

PharmacyresidentsareeligibleforamultitudeofdiscountsandareencouragedtoreviewtheNHRMCbenefitswebpageformoreinformation:https://www.nhrmc.org/employees/benefits

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ResidentParkingPharmacyresidentswillbeissuedaparkingpermitforthedurationoftheyear.NHRMCemployeesshouldparkindesignatedareas.Employeeparkingisprovidedatnocostandavailableonafirstcome,firstservedbasis.Employeesparkinginareasnotdesignatedforemployeeswillbesubjecttoafineandawrittenwarninguponthefirstviolation.Parkingstickersshouldbeplacedontheleftrearwindow(behindthedriver)ofthevehicle.TheresidentshouldcontacttheNHRMCDepartmentofPublicSafetyforassistanceandanswerstoquestionsregardingparking.

Communications

MailIncomingmailwillbeplacedinindividualmailboxeslocatedinthepharmacyadministrativeofficesacrossfromthesupportassociate.ThereisamaildropboxintheDepartmentofPharmacy.Additionally,theNHRMCmailroomislocatedontheservicelevelofthehospital.

EMailandCalendarSystem Theresidentisresponsibleforcheckingtheiremailataminimumof3timesdaily Anyemailsthatrequiremassdistribution(iepharmacydepartment)shouldbesenttoanRPDfor

distribution EachresidentwillkeeptheirOutlookcalendarproactivelyuptodateregardinghisorher

responsibilities,meetings,etc.Thisincludesthefollowing:o Dailyrotationresponsibilities,deletingmeetingsnotattended,andaddingallPDOsandtime

awayfromrotationo TheresidentsprogramdirectorshouldbecarboncopiedonanyPDOortimeaway

appointments Calendarsareusedtoaccountforresidenttimeandwillbeauditedperiodically TheresidentwillalsomaketheircalendaravailabletoallRPDs,thePharmacyDirector,allManagers,

andthepharmacyresidencyprogramAdministrativeAssistant.

Personalphones Residentswillverifythattheirpersonalphonesaresettosilentorvibratewheninpatientcareareas

andthatthedepartmentelectronicdevicepolicyisfollowedatalltimes.Residentsshouldbeawarethattextingisnotanoptimalformofcommunicationwithpreceptors.

Textingbetweenpreceptorsandresidentsshouldbelimitedtotimedelays,roomchanges,etc.andonlyduringbusinesshours

Discussions,includingfeedback,shouldbeavoidedovertextcommunication.

PerfectServePerfectServeisacommunicationsystemforphysiciansandclinicalstaff.PharmacyresidentswillbeavailableviaPerfectServe.Residentswillreceiveinformationandaccesstothesystemduringtheorientationperiod.AccesstoPerfectServeisavailablethroughdesktopicon,Epiclink,orlinkonCapsulesLive.

CapsulesLive/PharmacydepartmentwebpageCapsulesLiveistheNHRMCintranet.ThedepartmentofpharmacywebpagecanbeaccessedviaCapsulesLive.Itisexpectedthatresidentswillreviewandbecomefamiliarwiththepharmacywebpageduringorientation.Thepharmacywebpagecontainslinkstodepartmentprocedures,contactinformation,standardwork,therapeuticsubstitutions,etc.

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PolicyStat:

AllhospitalanddepartmentpoliciescanbeaccessedviaPolicyStatat:https://nhrmc.policystat.com/

DrugInformationResourcesNHRMCishometotheRobertM.FalesHealthScienceCenterLibrary.ResidentsmayalsorequestanarticleviatheCampbellUniversityCollegeofPharmacyandHealthSciencesDrugInformationCenter.DruginformationservicesareprovidedMondaythroughFriday8:30AM5PM(EST).TheDrugInformationCenterisclosedonweekendsandholidays.Itisexpectedthatresidentswillperformtheirownliteraturesearchesandwillutilizetheseresourcestoobtainspecificjournalarticles.LexiCompistheNHRMCdrugdatabase.ItcanbeaccessedviaEPIC,thepharmacywebpageordesktopicon.LexiCompisavailablefordownloadonpersonalphones.PleaseseeFrequentlyUsedLinksonthewebpageformoredetails.NeofaxisalsoavailableviaFrequentlyUsedLinksandPharmacistLetterisavailableviatheEducationtabonwebpage.PhotocopyingTheresidentmayusetheDepartmentofPharmacyServices'photocopymachinewiththefollowingprovisions:

o Machinemalfunctionsarepromptlyreportedtothesupportassociateo Copiesmadeareforuseintheresidencyprogramo Excessivecopying(suchasprintingentireguidelines,etc)isdiscouragedo Anyprintedpatientinformationispickedupfromthecopierimmediately

AnyquestionsregardingtheoperationofthephotocopymachinesshouldbedirectedtotheadministrativesupportstaffoftheDepartmentofPharmacy.CommonDriveEachresidentwillbegivenspace,viaanelectronicfolder,onthepharmacycommondrivetostorematerialrelatedtotheirresidencyprogram.Itisimperativethatallinformation,projects,presentations,orotherrequirementsoftheprogrambekeptonthecommondriveforfuturereference.Materialsshouldbelogicallyorganizedandinanaccessibleformat(i.e.notPDFformat).

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RESIDENT EXPECTATIONS AND RESPONSIBILITIES

Professional Conduct

It is the responsibility of the resident as a representative of the NHRMC Department of

Pharmacy and the profession of pharmacy to uphold the highest degree of professional conduct at all times. The resident will display an attitude of professionalism in all aspects of his/her daily practice.

Professional Dress All residents are expected to dress in an appropriate professional manner whenever they are in the institution or attending any function as a representative of NHRMC. Residents are expected to adhere to a business casual dress code for all rotations and activities unless otherwise specified by the residency program director. Residents may wear scrubs while on the following rotations: ICU rotations, ER rotation, longitudinal weekend staffing. Any specific problems with

attire will be addressed privately by the program director. Please see the Pharmacy Dress Code policy and the New Hanover Regional Medical Center Dress Code policy for additional details.

Employee Badges While in the Medical Center, all employees/students are required to wear identification cards above the waist, in a manner such that name, picture, and department are clearly visible. The I.D. card is only to be worn by the individual authorized to wear his/her I.D. card. It is the responsibility of an employee losing his/her I.D. to have it replaced immediately.

Patient Confidentiality/HIPAA Patient confidentiality will be strictly maintained by all residents. Any consultations concerning patients will be held in privacy with the utmost concern for the patients' and families' emotional as well as physical well being. All patient care activities are subject to and should abide by HIPAA regulations at all times. Please keep in mind that HIPAA also encompasses peers, preceptors, and staff. NEVER access any aspect a chart without the patient's written permission if you are not involved in their care. Personal devices, including cell phones, should never to be used to record images of patients. Only equipment that is owned, leased, controlled or approved by NHRMC should be used to photograph or video patients. Consent to photograph is obtained from the patient/patients representative for photographs or video for clinical, educational, or identification purposes when the Terms of Admission (Form AO-014) is signed. Please see the compliance page of CapsulesLive for further details.

Attendance Residents are expected to attend all functions as required by the Director of Pharmacy, Residency Program Director, and rotation preceptors. The resident is solely responsible for their assigned practice commitments, and is responsible for assuring that these service commitments are met in the event of an absence (See - Resident Leave Policy 3.0 in PolicyStat). All leave requests should be discussed in advance with the involved preceptors to assure that service

responsibilities can be fulfilled. An excused absence is defined as a paid day off discussed with

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http://caplive/caplive/body.cfm?id=912

and signed off by the respective rotation preceptor and program director. If a resident is scheduled for inpatient, outpatient, or discharge transition practice shift and they call in sick they must make up this time (additional weekend or shift) on the subsequent schedule and should also contact the manager on call, in addition to their preceptor and RPD to ensure there

is adequate coverage for their shift.

Kronos

All residents are responsible for clocking in at the start of their work day and out at the end.

Residents working in clinics off site without accessible Kronos timeclocks should report their

hours to the department administrative assistant (Ms. Diane Graham).

Pharmacy Licensure

All residents must be licensed in the State of North Carolina. Incoming residents should plan to take their licensure exams prior to the start of orientation if at all possible. Completion of service and rotation requirements are dependent on the resident being licensed. If the resident is not licensed as specified by the Licensure, provisions will need to be made regarding rotation and service responsibilities (See - Licensure Policy 1.0 in PolicyStat).

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GENERALPROGRAMOVERVIEW

Orientation

o Amandatory,formalorientationprogramfortheresidentisscheduledatthestartoftheresidencyprogram.Orientationis6weeksforPGY1pharmacyandPGY1communityprogramsand4weeksforPGY2AmbulatoryCareandPGY2CriticalCareprograms.Theresidentisexpectedtoattendthesesessionsandshouldnotplananytimeawayduringtheorientationperiod.ThisorientationperiodisusedtointroducetheincomingresidentstoNHRMCandtheDepartmentofPharmacyServicesaswellastooutlinetheexpectationsfortheresidencyyear.Pleaseseeapplicableorientationlearningexperiencedescriptionformoredetails.

o Itisexpectedbytheendoforientationthattheresidenthassuccessfullycompletedallrequiredcompetencies.Failuretodosowillresultinadelayedrotationstartdate.

o Alongwiththeresidencyrequirements,itisexpectedthattheresidentwillcompletepharmacydepartmentorientationrequirements.TheserequirementsincludecompletingassignedmyNetlearningandanyotherassignedmodules.

LongitudinalResearch/QualityImprovementProject

o Residentscompletearesearchorqualityimprovementprojectdesignedtoimprovethepharmacydepartmentorachieveaspecificobjective.Pleasereviewtheapplicablelongitudinalresearchlearningexperienceforfulldetails.

o ProjectswillbeapprovedthatsupportthemissionofthedepartmentofPharmacyandwillbedeterminedduringthe1stquarter.PleaserefertoTable1fortheduedateforsubmissionoftheProjectApprovalSheet(SeeProjectApprovalSheet)totheprojectpreceptor.TheresidentwillpresentaPowerPointpresentationtotheprojectadvisorandRACcommitteeforapprovalandfeedback.Afterapproval,theresidentandpreceptorshouldsetupmeetingtimesofatleast1houreachmonthforprojectupdates.

o Aftertheorientationperiodiscomplete,eachPGY1PharmacyresidentandPGY2CriticalCareresidentmaytaketheequivalentof1/2dayeachmonthforlongitudinalprojectactivities.Thistimeshouldbecombineddayoffaroundweekendworked.PGY2AmbulatoryCareandPGY1Communityresidencieshaveadministrativetimebuiltintheworkweekandwillnottaketimeoff.

Theresidentwillcoordinatewiththeirpreceptortodeterminethebestdayandtoincorporatethispotentialtimeawayfromrotationsothatthemaximumtimeawayfromrotationisnotexceeded(SeeResidentLeavePolicy3.0)a

Itisnotexpectedthattheresidentwillbeabletocompletetheirprojectjustusingthistime,butthiswillprovidededicatedtimeeachmonthforprojectmeetings,etc.

o ASHPMidyear:ResidentspresenttheirprojectasposteratASHPMidyearmeetingseeTable1fordates

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o RegionalEducationandPracticeSymposium(REPS):Residentspresenttheirprojectasasabriefpodiumpresentation(10minutes)ataregionalresidencyconferenceinChapelHill,NCseeTable1fordates

o NHRMCPharmacyResidentResearchDay:ResidentspresenttheirprojectasasapodiumpresentationandprovidestheresidentsanopportunitytopresenttheirprojecttoNHRMCemployees.ThisisajudgedpresentationandthewinnerwillbepresentedtheMarkE.Allenresearchawardatgraduation.(SeeTable1fordates)

LongitudinalPracticeComponentsEachrespectiveresidencyprogramhasincorporatedpracticecomponentsdesignedtoensurethatresidentscanfunctionappropriatelyintheirrespectivepharmacyenvironments.

o Inpatientlongitudinalservice(PGY1Pharmacy&PGY2CriticalCare):Duringorientation,thePGY2CriticalCareandPGY1Pharmacyresidentswillworkeveryotherweekendorasdeterminedbytheresidencyprogramdirectortoensurecompetencewithweekendrequirements.

Aftercompletionoftheorientationperiod,PGY1residentsarescheduledtoworkapproximately16hourspermonth(every3rdweekend,SaturdayandSunday).PleasereviewInpatientlongitudinalstaffinglearningexperienceformoredetailandrequirements.

EachPGY1Pharmacyresidentwillscheduleashort(30min)meetingtheweekaftertheyworkaweekendtomeetwiththelongitudinalstaffingpreceptortodiscusstheirperformanceovertheweekend.Residentsarerequiredtoschedulethesemeetingsforthefirstandsecondquartersand.themeetingsmaybediscontinuedafterthefirsttwoquartersifthelongitudinalstaffingpreceptorandresidentmutuallydeterminetheyarenolongernecessary.Itisrecommendedtoscheduletheseappointmentsasearlyaspossible.

ThePGY2CriticalCareresidentwillworkevery6thweekendintheintensivecareunits.Pleaseseelearningexperiencefordetails.

Residentsmaytake1/2dayoffaroundtheirweekend.Thistimeawayshouldbescheduledwiththeirpreceptorandcombinedwiththeirmonthlyproject1/2day.

o Outpatientlongitudinalservice(PGY1Community):ThePGY1Communityresidentwillworkatotalof8hoursaweekintheoutpatientpharmacyinadispensingrole,andworkoneSaturdayeachquarter(afterthefirstquarter)inadispensingrole.Pleaseseelearningexperiencefordetails.

o AmbulatoryCarelongitudinalservice(PGY2Ambulatory):ThePGY2AmbulatoryCareresidentwillfollowpatientsonthefamilymedicineinpatientservicedailyforidentificationofpatientsthatneeddischargecounselingaswellasaidintransitioningMedicarepatientstofollowupappointmentswiththeirprimarycareprovideratthefamilymedicinecenter.ThePGY2AmbulatoryCareresidentwillprovideatelephoneconsulttoeachpatientwhomeetscriteriaandprovideeducationaswellasensureanymedicationrelatedproblemissolved.Thisisanticipatedtobe~24hoursoftotaltimeeachweek.Pleaseseelearningexperiencefordetails.

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o DischargeTransitions(PGY1Pharmacy,PGY1Community,PGY2AmbulatoryCare): EachPGY1Pharmacyresidentwillworkonehalfday(~4hourseachshift)everytwo

weeksaspartofthedischargeprocess,usuallyfrom12:154:15pm(oruntildocumentationcompleted).

ThePGY2AmbulatoryCareandthePGY1Communityresidentwilleachwork~4hourseachweekinthissamesetting.SeeAppendixforthedischargetransitionsschedule.

Theresidentwillcovertheentiredischargeshift(12:154:15oruntildocumentationiscomplete).Iftheresidentisunabletocompleteanentireshift,itisrecommendedthattheresidentswitchshiftswitharesidentwhocancompletetheshift.Residentsshouldnotscheduleshiftsondayswithothercommitments(iedepartmentorhospitalcommittees).

IfaswitchisplannedpleaseupdatethedischargetransitionscalendarontheNdriveandsendacalendarappointmenttoMeghanOwenandtoDSM.Pharmacy@nhrmc.org.

Iftheresidentisunabletofindcoverageorswitchshiftswithanotherresident,contactthedischargetransitionsPharmacistII(MeghanOwen)viaemailandphoneatleast24hourspriortotheshift.Theresidentwillberesponsibleformakingupanyshiftsmissed.Pleaseseelearningexperienceforadditionaldetails.

o LongitudinalEducationAllresidentwillparticipatecompletealongitudinaleducationrotationwhichwillencompassEducationForumandaACPEapprovedContinuingEducationpresentation.ItwillalsoincludehealthylifestylesclassesforthePGY1Communityresident.Pleaseseelongitudinaleducationresidencylearningexperience.SeealsoCEStandardWork,JournalClubStandardWork,EducationForumScheduleforadditionaldetails.

o LongitudinalWritingActivities Itshouldbeexpectedthatallrequiredwritingactivitieswillundergoseveralrounds

ofeditsandtheresidentshouldplantheirtimelinetoincorporatethese. PGY1PharmacyandPGY1Communityresidentswillberesponsibleforwritingat

least3Pharmagramarticles.(SeePharmagram). Residentswillalsobeinvolvedinotherwritingactivitiessuchasformaldrug

informationresponses,committeemeetingminutes,etc.Pleaseseecustomizeddevelopmentplanandprogressiondocumentforresidencyspecificrequirements.

Residentswillprepareamanuscriptthatissubmittedtoanoutsidepeerreviewedjournalbytheendoftheirresidencyyear.Pleaseseelongitudinalwritinglearningexperienceandmanuscriptprocessformoredetails.Itisexpectedthattheresidentwillbetheprimaryauthorofthemanuscript.However,typicallythemanuscriptpreceptorservesasacoauthor.

Eachresidentwillparticipateinthewritingofmeetingminutesforatleastonehospitalordepartmentcommitteethroughouttheyear.Itisuptotheresidentmembersofthecommitteetodevelopacoverageplanfortakingminutes.

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Plagiarism

o Aresidentwillnotsubmittheworkorideasofanotherastheirown.Theprogram'spositiononplagiarismisthattheworkofanyotherindividual,whetherpublishedorunpublished,mustalwaysbeappropriatelycitedwhenusedwithinthecontextofaresidentproject,presentation,orassignment.Furtherexamplesofplagiarismviolationsareoutlinedbelow.

Changingthewordingofanothersourceisnotadequate,andtheoriginalauthorstillneedstobeappropriatelycited.

Informationtakenfromanysourceisconsideredplagiarizedifnotcitedcorrectly.Thisincludesunpublishedmaterialfrompreceptors,students,formerresidents,orotherhospitalstaff.

Usingother'sconclusionsasyourown(author'sconclusionsversusspeaker'sconclusions)

Usinganincorrectsourceforthecitationofinformationisplagiarism.Thisincludescitingasourcethatwasnotactuallyused.

Reuseorresubmissionofassignmentspreviouslycompletedforanotherpurposeisaformselfplagiarism,andisalsounacceptableifnotappropriatelyrecognizedorcited.

Anythingthatyoupresenttoanyhospitalteam,committee,ororganizationisconsideredyourownpersonalwork.Itshouldcontainbothyournameandappropriatecitations.

ResidentswillundergotraininginplagiarismandwillsignadocumentstatingtheyunderstandNHRMCpolicy.Ifaresidentisfoundtohaveplagiarized,thiswillresultinresubmissionofthatassignmentandtheprogramdirectorwillbenotified.Furtherdisciplinaryactionwilloccurasdeterminedbythepreceptorandprogramdirectorandtheresidentmaybesubjecttoimmediatetermination.

Residentevaluations

o Blockrotations:TheresidentandpreceptorwillcompleteallscheduledPharmAcademicevaluationswithin7daysaftertheendofeachlearningexperience.

Preceptorsandresidentareencouragedtoscheduleevaluationandrotationfeedbacktimeonthelastdayofrotationtoensureallevaluationsarecompletedinatimelymanner.

Preceptorswillensuresummativecommentsfollowthestart,stop,continuemethodology.

o Longitudinalrotations:Longitudinalrotationsincludinglongitudinaleducation,longitudinalwriting,longitudinalstaffing,longitudinaldischarge,longitudinalproject,andLEADwillbeevaluatedeachquarter.

TheresidentandpreceptorwillcompleteallscheduledPharmAcademicevaluationswithin7daysaftertheendofthequarter

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Itisexpectedthattheresidentwillschedulemeetingswitheachlongitudinallearningexperiencepreceptortoreviewprogresswithinthelast2weeksofthequarter.

o Quarterlyevaluations ResidentQuarterlyNarrativeProgressReport

AllresidentswillincludeaselfassessmentofhowtheyareprogressingregardinggoalsspecifictotheResidencyLearningSystem.

Thereportshouldaddressprogressmadetowardmeetinggoalsandobjectivesestablishedatthebeginningoftheresidencyyearandadditionofanynewgoals.

Residentswillalsoevaluateactivitiesandprovidefeedbackonareasnototherwiseevaluatedintheprogram

o ResidencyProgramDirectorResidentQuarterlyevaluations:TheRPDwillevaluatetheresidentquarterlybasedupontheresident'soverallprogressandperformance.Thisreportshouldevaluatetheprogresstowardsmeetinggoalsandobjectivesoftheresidencyprogram.Theresidencyprogramdirectorwillutilizethemonthlyevaluationsreceivedfromrotationpreceptorsaswellastheresident'snarrativequarterlyreporttoformulatetheirevaluation.

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Rotationso Prerotationassessmentform:Foreachrotation,theresidentwillcompleteaprerotation

assessmentformandsubmittotheirpreceptornolaterthan5businessdays(SeeAppendixPrerotationform)

o Electivesmayinclude:anyofthesitesforrequiredrotations,listedelectives,oraprojectmonthbasedonpreceptorandresidentinterest

o Physicianpreceptedrotations:Itispossibletousenonpharmacistpractitionerstocopreceptrotationsinlaterstagesoftheresidency,whentheprimaryroleofthepreceptoristofacilitatetheresidentlearningexperience.Toparticipateintheserotations,theRPDandRACcommitteemustagreethattheresidentisreadyforindependentpractice

PGY1Pharmacy PGY1Community PGY2AmbulatoryCare PGY2CriticalCare

Orientation(1.5months)

ConcentratedElective(2weeks)

InternalMedicine1(1month)

InternalMedicine2(1month)

IntegratedPractice(1month)

AmbulatoryCare(12months)

CriticalCare(1month)

PracticeManagement/DrugUsePolicy(1month)

Pediatrics(1month) Electives(2.53.5months

perresidencytrack) Longitudinal:Inpatient

Practice,Writing,Research,LongitudinalDischargeTOC,Education,LEAD

Orientation(1.5months)

Project(1month) Directpatientcare

(3days/week) Practicemanagement(1

days/week) Communityoutreach(1

day/month) Electives(2months) Longitudinal:Outpatient

Practice,Writing,Research,LongitudinalDischargeTOC,Education,LEAD

Orientation(1month) FamilyMedicine

(6months) InternalMedicineclinic

(2months) Precepting

(1month) Electives(2months) Longitudinal:Writing,

Research,LongitudinalDischargeTOC,Education,LEAD

Orientation(1month) MedicalIntensive

CareUnit(2months) SurgeryTrauma(1

month) Neuro/Neuroscience

/NeurotraumaIntensiveCare(1month)

EmergencyMedicine(1month)

CardiothoracicSurgery(1month)

CardiacIntensiveCare(1month)

Nutrition(1month) PediatricIntensive

Care(1month) Longitudinal:Inpatient

service, Manuscript, Research,Longitudinal Education,LEAD

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CommunityOutreach

o Allresidents:

EachresidentiswillparticipateintheplanningandimplementationofagroupcommunityserviceprojectintheFallandSpringoftheresidencyyear.Thisprojectshallbecoordinatedtoreachouttoourlocalcommunitybygivingourtimeutilizingtheskillsofthevariouspharmacydepartmentmembers.ThisexperiencewillbeevaluatedinLEADpleaseseelearningexperiencedescriptionformoredetails.

ResidentsasagroupwillhavedetermineaprojectandpresenttheideatoRPDsforapproval.PleaseseeTable1forFallandSpringdates.

Itisexpectedallresidentswillparticipateinthisprojectalthoughitisunderstoodthatsomeresidentsmaybecompletingweekendstaffingduringtheactualevent.Residentswhocannotattendtheeventareexpectedtocontributeinotherways(advertisement,coordinating,preparations,Etc.)

PGY1CommunityResident:ThePGY1Communityresidentisrequiredtocompleteaminimumof4hours(or1event)ofcommunityoutreachmonthlyorperPGY1CommunityRPD.Pleaseseelearningexperiencefordetails.Activitieschosenshouldbebasedontheresident'sarea(s)ofinterest.Anexcelspreadsheetwillbekeptonthecommondrivewithalistofpossibleactivities.

ChainofCommand

Theresidency"chainofcommand"generallyconsistsof:preceptorResidencyProgramDirectorResidencyCoordinatorRAC.However,keepinmind,thatinsomeinstances,thechainofcommandmaybedifferent(i.e.somemanagersarealsopreceptorsinthisinstance,theyshouldbecontactedfirst)

Ifworkingwithpersonsoutsidethepharmacydepartment,theresidentwillmakesureallappropriatepartieswithinthedepartmenthavebeenbriefedbeforecontactingorprovidinginformationtopartiesoutsideofthedepartmentofpharmacy.

TimeAway

ForDirectPatientCareRotations,(InternalMedicine,AmbulatoryCare,IntegratedPractice,Pediatrics,CriticalCare,CommunityPractice,Etc.),itisexpectedthattheresidentwillnotexceedmorethan5daysawayduringaonemonthrotation(7daysfor1.5months,15daysforquarterlyrotation)

Ifthemaximumtimeawaywillbeexceeded,aplanmustbedevelopedwiththepreceptorandRPDregardingmeetingrotationrequirements.Thismayincludeworkingweekendsoroffshifts.

SeeResidentLeavePolicy3.0foradditionaldetails.

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ParticipationinResidencyRecruitment

Eachresidentwillassistwiththerecruitmenteffortsofthedepartment.ThismayincludetheNCAPresidencyshowcase,ASHPMidyearresidencyshowcase,PPS,andonsiteresidencyinterviews.

DepartmentCouncil/CommitteesResidentwillhavetheopportunitiestoparticipatein1ormoredepartmentcommitteethroughouttheyear.Membershiponeachcommitteeisyearlongtoensurecontinuity.Moreinformationoneachcommittee,includingtheroleoftheresident,canbefoundinthecommondrive.Committeeassignmentsareasfollows:

o DirectPatientCareCouncil2PGY1Pharmacyresidentso OperationsPracticeCouncil2PGY1Pharmacyresidentso MedicationAdministrationandAccessSafetyTeam(MAAST)2PGY1residentso AmbulatoryCareCouncil1PGY1Communityresidentand1PGY2AmbCare

Critical Care Council - 1 PGY2 Critical Care Residento EducationPracticeCouncil1PGY1Communityresidentand1PGY2AmbulatoryCare

resident

InterdisciplinaryCommitteesResidentwillhavetheopportunitiestoparticipatein1ormorehospitalcommitteethroughouttheyear.Committeeassignmentsareasfollows:

o EmployeeHealthPGY1Communityresidento HealthyLifestylesPGY1Communityresidento P&Tsubcommittee

Antimicrobial2PGY1Pharmacyresidents Cardiac1PGY1Pharmacyresident

o Resuscitation:1PGY1Pharmacyresidento CodeStroke:1PGY1Pharmacyresidento Falls:1PGY1Pharmacyresidento FamilyMedicinePGY2AmbulatoryCareo CriticalCare CommitteePGY2CriticalCare

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ResidentMentorExperienceatNHRMC RoleofRPD

o Ensurestheresidentismakingprogresstocompleteresidencyprogram Providecareerguidance,professionaldevelopment Meetquarterlywithresidentandmentor Writelettersofreference Unsolicitedadvice

RoleofMentor Trustedally

Willonlyactoninformationifresidentdesiresorinthebestinterestoftheresident(personallyorprofessionally)

Facilitatesgrowthanddevelopment Unsolicitedadvice Recommendmonthlymeetings,atleastinitially

Mentorwillberesponsibleforsettingupmeetings/checkintimes Ideasfordiscussionatmeetings:

Whatsgoingwell Struggles Conflicts Goalsandhelpingtodevelopplanstomeetthesegoals Opportunitiesavailablethatmaybenefitresident Longtermcareerplanning Progresstowardsachievementofresidentrequirements

o Projecto Rotationso Writingo Education(Mentorcantrytoattendanybigpresentations)o Service(Staffing)inptandoutpto Communityoutreach

Howareresidentsandmentorspaired?

RPDswillsolicitmentorinterestfrompreceptorso RPDsandmanagersarenoteligibleo FirstyearofhiredateatNHRMCarealsonoteligible

July/Augusto RPDswilleducateresidentsontheprocessandmentorsavailableo ResidentinterestsandPhacebookprofilessharedo Residencysocialo PGY1residentswillletRPDknowofamentorstheywouldbeinterestedinworkingwith

Endoforientationo residentandmentorpairsfinalized

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New Hanover Regional Medical Center

Pharmacy Residency Preceptor Appointment and Expectations

Purpose

To describe the selection criteria for appointment and re-appointment of pharmacy residency preceptors at New Hanover Regional Medical Center, as well as the expectations of pharmacy residency preceptors.

Preceptor Appointment Process To be considered for preceptorship a qualified pharmacist must notify the appropriate Residency Program Director (RPD) of precepting desire and demonstrates prior precepting experience (previous residents/students at outside organizations, students within NHRMC, other types of learners, etc.). The applicable RPD will review each potential residency preceptor based on the following criteria:

Attendance of NHRMC initial preceptor introduction session

Up to date ASHP academic and professional record

Adherence to ASHP preceptor eligibility requirements including:o PGY1 Pharmacy and PGY1 Community preceptor requirements:

ASHP accredited PGY1 Pharmacy residency followed by a minimum of one year ofpharmacy practice experience; or

Completed an ASHP- accredited PGY1 Pharmacy residency followed by an ASHP-accredited PGY2 residency and a minimum of six months of pharmacy practiceexperience; or

Without completion of an ASHP-accredited residency, have three or more years ofpharmacy practice experience

o PGY1 Community additional requirements: Participation in community service outreach programs at minimum of one event per

academic yearo PGY2 preceptor requirements:

ASHP accredited PGY2 residency + 1-year practice experience in advanced practice area OR 3 years of practice experience in advance practice area

Demonstrate a desire and aptitude to teach and includes the following:o Mastery of four preceptor roles (instruction, modeling, coaching, facilitating)o Ability to provide both written and verbal criteria-based feedback and evaluation of residentso Contribute to the advancement of the profession per ASHP qualifying preceptor characteristics

Training and experience in area of practice for which they serve as a preceptoro Experienced preceptors must be in area of practice at least 6 months prior to preceptingo Non-experienced preceptors must be in area of practice at least 12 months prior to precepting

Pharmacists who do not meet the ASHP qualifications as specified above, will be considered preceptorsin training (PITs)

o PITs will be assigned a qualified preceptor as an advisoro PITs will meet with RPD(s) to determine preceptor development plan to meet the qualification

for becoming a residency preceptor within 2 yearso Please see PIT expectation document for other responsibilities

In accordance with ASHP standards non-pharmacist preceptors (physicians, physicianassistants, certified nurse practitioners, etc.) may be utilized as preceptors if the followingconditions are met:

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o The resident is ready for independent practice as assessed by the RPD o The RPD or designee works closely with the non-pharmacist preceptor to select the

educational goals and objectives for the learning experience Preceptor Expectations:

Regularly attend at least 50% of the Quarterly Residency Preceptor Meetings per academic year

Attend at least 50% of preceptor development sessions offered per academic year (typically offered in Residency Preceptor Meetings)

Develop learning experience description(s) for offered learning experience(s) and update yearly or as needed

Review the pre-rotation assessment form completed by the resident

Communicate any special schedule requests with operations manager a minimum of 8 weeks in advance (i.e. project day needed on first day of rotation)

Meet with the resident at the beginning of each rotation to discuss the following: o Orientation to the learning experience o Goals and objectives of learning experience o Pre-assessment form including resident goals and rotation schedule o Expectations regarding feedback, communication, etc. o Baseline knowledge and previous experience of resident o Any time away (vacation, conferences, etc.)

Provide feedback on resident progress to RPD

Consistently provide residents with verbal and written feedback to ensure appropriate progression

Assure rotation responsibilities do not exceed resident duty hours requirement

Complete and submit evaluation forms within 7 days of the end of the rotation

Seek feedback from resident throughout learning experience

Contribute to the list of resident projects ideas and manuscript ideas

Participate actively in continuous quality improvement initiatives

Offer at least 2 resident learning experiences each academic year

Acts as pharmacy role model for all residents o Maintains professionalism o Exemplary communicator o Respects deadlines o Support our residents and all residency programs

Preceptor Re-Appointment Criteria:

The RPD will meet with the preceptor annually to ensure the following standards are met to be eligible for preceptor re-appointment:

o Annual update of ASHP preceptor academic and professional record o Annually meet with RPD to review goals and objectives, learning experience descriptions,

rotation availability, etc. o Consistently meet all preceptor expectations as outlined above

RAC committee will have final approval of preceptor appointment and re-appointment based upon, but not limited to:

Recommendation of the Residency Program Director

Good standing within the department of pharmacy (no current performance improvement plans, etc.) Updated April 11, 2017

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PharmacyResidencyNEWPreceptorQualificationsandResponsibilities

PurposeTodeterminegeneralresponsibilitiesandexpectationsofNewHanoverRegionalMedicalCenter(NHRMC)pharmacyresidencypreceptorswhomaybenewtoourorganizationorwholackexperienceinpreceptingresidents.

DefinitionsPreviousExperienceasaPreceptor(PEP):APEPisaNHRMCpharmacistwhoisnewtotheorganizationhowever,hashadatleastoneyearofexperiencepreceptingpharmacyresidents.

PreceptorinTraining(PIT):APITisaNHRMCpharmacistwholacksexperiencepreceptingpharmacyresidentsand/ordoesnotcurrentlymeetAmericanSocietyofHealthSystemPharmacists(ASHP)preceptorqualifications.

QualificationsPreviousExperienceasaPreceptor(PEP): ActiveNorthCarolinapharmacylicensure Noactivedisciplinaryviolationsorcurrentperformanceimprovementplansdocumented Atleastoneyearofexperiencepreceptingpharmacyresidents MeetsASHPpreceptoreligibilityrequirements,asabbreviatedbelow:

Demonstrateadesireandaptitudetoteachandincludesthefollowing:o Masteryoffourpreceptorroles(instruction,modeling,coaching,facilitating)o Abilitytoprovidecriteriabasedfeedbackandevaluationofresidentso ContributetotheadvancementofourprofessionperASHPqualifyingpreceptor

characteristics PGY1andPGYCpreceptorrequirements:

o ASHPaccreditedPGY1residencyfollowedbyaminimumofoneyearofpharmacypracticeexperience;or

o CompletedanASHPaccreditedPGY1residencyfollowedbyanASHPaccreditedPGY2residencyandaminimumofsixmonthsofpharmacypracticeexperience;or

o WithoutcompletionofanASHPaccreditedresidency,havethreeormoreyearsofpharmacypracticeexperience

PGYCadditionalNHRMCspecificrequirement:o Participationincommunityserviceoutreachprogramsatminimumofoneeventper

academicyear PGY2preceptorrequirements:

o ASHPaccreditedPGY2residency+1yearpracticeexperienceinadvancedpracticeareao OR3yearsofpracticeexperienceinadvancepracticearea

PreceptorinTraining(PIT):

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ActiveNorthCarolinapharmacylicensure Noactivedisciplinaryviolationsorcurrentperformanceimprovementplansdocumented DemonstrateadesireandaptitudetoteachaccordingtoASHPrequirementsabove MeetsASHPpreceptoreligibilityrequirements,asabbreviatedbelow:

Demonstrateadesireandaptitudetoteachandincludesthefollowing:o Masteryoffourpreceptorroles(instruction,modeling,coaching,facilitating)o Abilitytoprovidecriteriabasedfeedbackandevaluationofresidentso ContributetotheadvancementofourprofessionperASHPqualifyingpreceptor

characteristics PGY1andPGYCpreceptorrequirements:

o ASHPaccreditedPGY1residencyfollowedbyaminimumofoneyearofpharmacypracticeexperience;or

o CompletedanASHPaccreditedPGY1residencyfollowedbyanASHPaccreditedPGY2residencyandaminimumofsixmonthsofpharmacypracticeexperience;or

o WithoutcompletionofanASHPaccreditedresidency,havethreeormoreyearsofpharmacypracticeexperience

PGYCadditionalNHRMCspecificrequirement:o Participationincommunityserviceoutreachprogramsatminimumofoneeventper

academicyear PGY2preceptorrequirements:

o ASHPaccreditedPGY2residency+1yearpracticeexperienceinadvancedpracticeareao OR3yearsofpracticeexperienceinadvancepracticearea

ResponsibilitiesandExpectationsAttendNHRMCinitialpreceptororientationsessionwherethefollowingwillbereviewed: Eachprogramsgoals,learningexperiencesandrequirements ResidencyLearningSystem(RLS) PharmacyResidencyHandbook Preceptorrequirementsandexpectationsforeachprogram Electronicevaluationsystemandcompletingevaluations

PreviousExperienceasaPreceptor(PEP): Residencypreceptorswithatleastoneyearofpharmacyresidencypreceptingexperiencewill

attendaoneononemeetingwithRPD(s)followingtheorientationsessiontoassessthefollowing:o Completionofselfassessmentofskillsandlearningexperiencetobeoffered

Selfidentifiedareasofimprovement Determineifresidentpreceptorqualificationsaremet

o DevelopmentofasitespecificlearningexperiencedescriptionusingthestandardNHRMCtemplate(ifthisisanewlearningexperience)

o CompletionofASHPPreceptorAcademicandProfessionalRecordFormo Communicationskillsincludingprovidingdirectfeedbacktothelearner

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Apreceptorwhohaspracticedlessthan1yearafterresidencyorlessthan3yearswithoutaresidencyisnotexpectedtopreceptresidentsuntil12monthsafterhiredate

Apreceptorwhohaspracticedgreaterthan1yearafterresidencyorgreaterthan3yearswithoutaresidencyisnotexpectedtopreceptresidentsuntil6monthsafterhiredate

PreceptorinTraining(PIT): AttendoneononemeetingwithRPD(s),followingtheorientationsessiontoassessbutnotlimited

tothefollowing:o Preceptordevelopmentplantomeetthequalificationforbecomingaresidencypreceptor

within2yearsofhiredateo Completionofselfassessmentofskillsandlearningexperiencetobeoffered

Selfidentifiedareasofimprovement Determineifresidentpreceptorqualificationsaremet

o DevelopmentofasitespecificlearningexperiencedescriptionusingthestandardNHRMCtemplate(ifthisisanewlearningexperience)

o CompletionofASHPPreceptorAcademicandProfessionalRecordFormo IndividualdevelopmentplanwithtimelinescodevelopedwithRPDo Communicationskillsincludingprovidingdirectfeedbacktothelearner

APITwillbeassignedaqualifiedpreceptorasanadvisor.o AdvisorswillbeidentifiedbyRPD'sandatthediscretionoftheResidencyAdvisory

Committee(RAC)assomeonewhohasexcellentteachingandpreceptingskills AdvisorscaneitherbeaRPDoraPEPatNHRMC

o Theadvisorhasthefollowingresponsibilities: CopreceptorinitialrotationwithPITandprovidefeedbackandguidanceinregards

topreceptingthelearningexperience EnsurePITcandocumentfeedbackonelectronicevaluationappropriately EvaluateaninteractivediscussionbetweenthePITandlearner(casediscussion,

journalclub,etc)once,atminimum CompleteformativeassessmentevaluationandprovidetoappropriateRPD

o AdvisorsandPITSareencouragedtomeetregularlytodiscussdevelopmentofpreceptingskills

APITwillnolongerbeconsideredas"intraining"oncealloftheabovecriteriahasbeenmet.ThepreceptorwillroutinelyrefertoResidentPreceptorExpectationslocatedintheNHRMCResidencyHandbook.

References:

http://www.ashp.org/menu/Accreditation/ResidencyAccreditationhttp://www.nhrmc.org/PharmacyResidency

February2015

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New Hanover Regional Medical Center

Pharmacy Residency Project Process

A pharmacy residency project is a required competency area of the ASHP Accreditation Standard. In accordance with

this standard, the resident will perform at least one project (research or quality improvement) per academic year.

Projects will be presented as poster at ASHP Midyear Clinical Meeting and as platform or poster at the regional

residency conference in the Spring.

Preceptor Expectations

Preceptors may submit project ideas to the Residency Program Coordinator by May 1st of each academic year. The

Residency Program Coordinator and RPD's will present topics to Residency Advisory Committee (RAC) for final approval.

RPD's will distribute available topics to residents for review. During orientation, the RPDs, preceptors with proposed

projects and residents will meet to outline the scope of the proposed project and allow residents to ask questions.

Topics should only be submitted by a preceptor under the following expectations:

Prior to submitting a proposed project, the preceptor should have a vested interest and ownership over the

intellectual property of the proposed project. In addition, the preceptor should also check with other parties

who may be invested (i.e. those who have helped develop a process, involved in carrying out a process,

originator of the idea) to determine interest.

A primary preceptor should limit resident project involvement to one project annually

The topic submitter will serve as co-investigator on the project and as the primary preceptor and longitudinal

evaluator of the residents performance.

o The primary preceptor will be assigned to the residents longitudinal project evaluation.

o The primary project preceptor will ensure learning experience expectations are met and complete

electronic evaluations quarterly.

o The primary project preceptor will also be responsible for communicating information including

deadlines, appointments and all pertinent information to all secondary preceptors assisting with the

project. The RPDs will correspond with the resident and the primary project preceptor.

o If the project submitter has little/no experience in precepting a project experience, the project

submitter in conjunction with the RPD, will seek involvement from a preceptor with experience who has

interest in the project.

The primary project preceptor will assist the resident in submitting any requests (data, access, etc) to the

appropriate person/department and/or EPIC.

Should the resident decide to combine the project and manuscript, the primary project preceptor will be given

the opportunity to serve as the primary manuscript preceptor. Should the primary project preceptor decline,

one of the project preceptors can serve as the primary manuscript preceptor.

Resident Expectations

The residents will be provided with a list of projects submitted by preceptors. The resident is responsible for reviewing

and performing a preliminary literature review of the proposed projects before meeting with the project preceptors.

During the project meeting with RPDs, project preceptors, and residents, the resident shall inquire details of the

proposed projects to ensure the project selected meets the residents interest. The residents must select a project and

inform the project preceptor and their RPD using the Project Approval Form be completed by mid-August as described in

Table 1: Important Residency Related Dates.

Any exceptions to the above will need to be approved by the RAC. EPIC Report Request

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In a project where EPIC data is needed, the resident will complete and submit a form entitled General Report Request.

This file is electronic and located as follows: Pharmacy Common Files -> Residents -> 20XX-20XX Residents -> Templates.

Essential elements to provide in the EPIC General Report Request

General: Requestor, department, request date, phone, email

Specific data elements needed in the report in order to identify patients since the report will be generated in

Excel format, ie. patient name, MRN, admission date, discharge date, specific laboratory data (if needed),

specific drug name.

Screen shots of where the data is located are helpful to the EPIC build team.

If there is a similar report already available in EPIC, provide the name of the report in the submission.

Need to provide the dates the data is needed, ie. June 2015 Sept 2015 or if the report will need to generated

on a regular basis, ie. Weekly, monthly from here forward which would be needed for a continuous service

being provided. If you are only looking at a period of time for analysis, provide only the dates needed.

EPIC General Report Request is submitted to the following address: service.request@nhrmc.org

Timeline for submission: least 8 weeks in advance as it takes 4-6 weeks for the report to be created and functional.

IRB Submission process, step-wise approach for submission at NHRMC.

1. Obtain IRB application from the IRB website 2. Complete first draft of the IRB application with the review of past IRB applications 3. Project Preceptor reviews the IRB application and provides feedback 4. Resident makes edits to the IRB application from project preceptors comments 5. IRB application sent to Clinical Pharmacy Manager for review 6. Resident makes edits to the IRB application from Clinical Pharmacy Manager 7. Resident submits only the electronic version of the IRB application to Amy Southerland and Lynette McFadden

(referred to as the IRB office from here forward) 8. IRB office provides feedback/edits to the IRB application 9. Resident edits the IRB application and any other documents as described in the review by the IRB office 10. Resident submits electronically and printed format of the following to the IRB office: IRB application, primary

investigators CV (if not already on file), data collection sheet (or excel file), and HIPPA training (if not already on file at IRB office).

Abstract/Manuscript (if manuscript is written on the project)

When an abstract and/or manuscript is written, the resident will ensure that all authors have reviewed, acknowledged,

and provided feedback prior to the abstract and/or manuscript being submitted.

Deadlines for Project/Research/Manuscript (if manuscript is written on the project)

Date Topic

Aug 5 Project decision submitted to RPD

Aug 12* Project Approval Form submitted to RPD

Sep 1* Project Presentation to RPD and primary preceptors

Sept 15* ASHP project abstract submitted by the resident to all project authors

Oct 1 ASHP Project abstract deadline

Oct 14* IRB application due suggested

Nov 18* ASHP project posters submitted to RPD

Jan 1 Manuscript topic/title and co-authors submitted to respective RPD

Feb 1 Manuscript background and methods submitted to respective RPD

Feb 28 Data collection complete and submitted to statistical analysis (if needed)

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March 15 The resident submits the first draft of the manuscript to primary manuscript

preceptor

March 25 Manuscript preceptor to provide feedback to the resident (resident requests

feedback by this date)

April 1 Resident submits the second draft of the manuscript to ALL authors

April 10 ALL authors provide feedback (request requests feedback by this date)

April 15 Project abstract, slide deck and CV submitted to REPS online

April 15 Final manuscript submitted to the RPD for RAC review

mid April Present project slide deck to RPDs and primary preceptors

April 25 RAC member submits feedback to resident

May 1 Final manuscript submission to peer reviewed publication

Mid May Research in Education and Practice Symposium (REPS, regional residency conference)

1st / 2nd wk June NHRMC Annual Pharmacy Resident Research Day

May-June IRB closure forms completed to close out project/research

RPD=residency program director, RAC=residency advisory committee

*Dates listed are approximate and vary each year- please refer to Table 1 (Important Residency Related Dates) in the NHRMC Residency Handbook

Residents shall adhere to the above timeline to facilitate completion of the residency project. A visual review of a

proposed timeline is provided by ASHP, http://www.ashp.org/doclibrary/membercenter/npf/resident-research-

timeline.pdf

Created: August 2015, updated Oct 2016, updated April 2017

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LongitudinalResearchProjectApprovalFormThepurposeofthisformistoensuretheresidentsetsupaframeworkforaprojecttobecompletedinanacademicresidencyyearandtoensureallinvestigatorsunderstandprojectdirectionandidentifiedgoalsupfront.Projectapprovalformduedate(projectpreceptorandRPD)

August2017

Titleofproject Residentname Primaryprojectpreceptorname Secondaryprojectpreceptorname(s)

Isthisprojectqualityimprovementorresearch?

Background:Summaryofliteraturereview,issuesidentified

Objectives:PrimaryandSecondaryobjective(s)/outcome

Methods:processtobeusedtocompleteproject

Studypopulation: Anticipatedimpactonpharmacyservices/patientsatNHRMC/other

Residentsintervention EstimatedtimelineforcompletionPleasenotetheprojectshouldbefinalizedbyearlyMayinpreparationfortheRegionalEducationandPresentationSymposium(REPS).

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New Hanover Regional Medical Center

Pharmacy Residency Manuscript Process

Preceptor Expectations

Preceptors may submit manuscript topics to the Residency Program Director's (RPD's) by May 1st of each academic

year. RPD's will present topics to Residency Advisory Committee (RAC) for final approval. RPD's will distribute available

topics to residents during the Residency Discussion Series (RDS) on Manuscript Process.

Topics should only be submitted by a preceptor under the following expectations:

Prior to submitting a topic idea, the preceptor should have a vested interest and ownership over the intellectual

property of the topic. In addition, the preceptor should also check with other parties who may be invested (i.e.

those who helped develop a process, involved in carrying out a process, originator of an idea) to determine

interest.

The topic submitter will serve as co-author on manuscript and as the primary manuscript preceptor and

evaluator of the written material.

o The primary manuscript preceptor will be assigned to the residents longitudinal writing evaluation.

o The primary manuscript preceptor will ensure learning experience expectations are met and complete

electronic evaluations quarterly.

o The primary manuscript preceptor will also be responsible for communicating information to all co-

authors assisting with the manuscript. The RPDs will correspond with the resident and the primary

manuscript preceptor.

o The primary manuscript preceptor is responsible for communicating all deadlines, appointments and

other pertinent information to the resident and co-authors.

o If there is more than one co-author, one primary manuscript preceptor will be assigned by RPD. The RPD

will make this determination based upon discussions with co-authors, manuscript experience of primary

manuscript preceptor, and availability of time for this commitment.

o If the topic submitter has little/no experience in precepting a manuscript learning experience, the topic

submitter in conjunction with the RPD, will seek involvement from a preceptor with experience who has

interest in the topic.

The primary manuscript preceptor will submit any requests (data, access, etc) to appropriate

person/department at least four weeks in advance of need. Any information requests to EPIC (reports, data, etc)

need to placed at least 8 weeks in advance.

Resident Expectations

The resident may choose to prepare their residency project for manuscript submission. The resident is responsible for

notifying their RPD by deadline listed below with the following information:

Manuscript topic

Identification of Manuscript co-author(s). The resident must ensure that all authors agree to participate in

authorship as defined by (1) substantial contributions to conception and design, or acquisition of data, or

analysis and interpretation of data; and (2) drafting the article or revising it critically for important intellectual

content; and (3) final approval of the version to be published.

At minimum, the following sections (or similar titled sections) are due to the primary manuscript preceptor and carbon

copied (cc'd) to residents RPD by deadline listed below:

Background

Methods

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Each resident is required to prepare and submit a manuscript to an outside peer-reviewed journal/publication.

Residents will be provided a list of suggested and trusted publications during a residency discuss series (RDS) session. It

is the responsibility of the resident to determine if there are any special submission rules (i.e. fees). Submissions to

journals with special requests will need to be approved by the RAC committee prior to submission, and will be handled

on a case-by-case basis. Residents should make a reasonable effort to submit to publications with minimal fees. It is

expected that the resident will serve as primary author of the manuscript. Prior to submission to the peer-reviewed

journal, the resident shall submit the manuscript to the Residency Advisory Committee for submission approval. The

RAC committee will assign a person to proof read for accuracy in regards to history of topic area at NHRMC, health

privacy, etc. The RAC may extend the submission deadline date if changes in the manuscript are required.

After RAC approval, the final manuscript must be submitted to a peer reviewed journal/publication by the deadline

listed below. The resident should expect several rounds of edits and will need to prepare and schedule deadlines

accordingly. A final submission deadline allows time for notification of acceptance/rejection from the journal and edits

to be incorporated with preceptor guidance prior to completion of the residency program. If the editing process extends

beyond successful completion of the residency program, the graduated resident will need to communicate their

continued interested in the manuscript to the primary manuscript preceptor.

Any exceptions to the above will need to be approved by the RAC.

Deadlines for Manuscript (non-project)

Date Topic

Jan 1 Manuscript topic/title and ALL co-authors submitted to respective RPD

Feb 1 Manuscript background and methods submitted to respective RPD

March 15 The resident submits the first draft of the manuscript to primary manuscript

preceptor

March 25 Manuscript preceptor to provide feedback to the resident

April 1 Resident submits the second draft of the manuscript to ALL authors

April 10 ALL authors provide feedback (request requests feedback by this date)

April 15 Final manuscript submitted to the RPD for RAC review

April 25 RAC member submits feedback to resident

May 1 Final manuscript submission to peer reviewed publication

Authorship Criteria and Contributions

Each author should have participated sufficiently in the work to take public responsibility for appropriate portions of the content. One or more authors should take responsibility for the integrity of the work as a whole, from inception to published article. Authorship credit should be based only on (1) substantial contributions to conception and design, or acquisition of data, or analysis and interpretation of data; and (2) drafting the article or revising it critically for important intellectual content; and (3) final approval of the version to be published. Conditions 1, 2, and 3 must all be met.1,2

1. Iverson C, Christiansen S, Flanagin A, et al. AMA Manual of Style: A Guide for Authors and Editors. 10th ed. New York, NY: Oxford University Press; 2007. 2. International Committee of Medical Journal Editors. Uniform requirements for manuscripts submitted to biomedical journals. http://www.icmje.org. Updated December 2016. Accessed May 2017

II. ROLES AND RESPONSIBILITIES OF AUTHORS, CONTRIBUTORS, REVIEWERS, EDITORS, PUBLISHERS, AND OWNERS2

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http://jama.ama-assn.org/misc/ifora.dtl#Cite3#Cite3http://jama.ama-assn.org/misc/ifora.dtl#Cite4#Cite4http://jama.ama-assn.org/misc/ifora.dtl#httpwwwicmjeorg#httpwwwicmjeorg

A. Defining the Role of Authors and Contributors

1. Why Authorship Matters Authorship confers credit and has important academic, social, and financial implications. Authorship also implies responsibility and accountability for published work. The following recommendations are intended to ensure that contributors who have made substantive intellectual contributions to a paper are given credit as authors, but also that contributors credited as authors understand their role in taking responsibility and being accountable for what is published.

Because authorship does not communicate what contributions qualified an individual to be an author, some journals now request and publish information about the contributions of each person named as having participated in a submitted study, at least for original research. Editors are strongly encouraged to develop and implement a contributorship policy. Such policies remove much of the ambiguity surrounding contributions, but leave unresolved the question of the quantity and quality of contribution that qualify an individual for authorship. The ICMJE has thus developed criteria for authorship that can be used by all journals, including those that distinguish authors from other contributors. 2. Who Is an Author? The ICMJE recommends that authorship be based on the following 4 criteria: 1. Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND 2. Drafting the work or revising it critically for important intellectual content; AND 3. Final approval of the version to be published; AND 4. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

In addition to being accountable for the parts of the work he or she has done, an author should be able to identify which co-authors are responsible for specific other parts of the work. In addition, authors should have confidence in the integrity of the contributions of their co-authors.

All those designated as authors should meet all four criteria for authorship, and all who meet the four criteria should be identified as authors. Those who do not meet all four criteria should be acknowledgedsee Section II.A.3 below. These authorship criteria are intended to reserve the status of authorship for those who deserve credit and can take responsibility for the work. The criteria are not intended for use as a means to disqualify colleagues from authorship who otherwise meet authorship criteria by denying them the opportunity to meet criterion #s 2 or 3. Therefore, all individuals who meet the first criterion should have the opportunity to participate in the review, drafting, and final approval of the manuscript. The individuals who conduct the work are responsible for identifying who meets these criteria and ideally should do so when planning the work, making modifications as appropriate as the work progresses. It is the collective responsibility of the authors, not the journal to which the work is