Milwaukee Veteran's Affairs Medical Center Post Graduate Year Two (PGY2) Medication Safety and Policy Pharmacy Residency

PGY2 Program Purpose Statement

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 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.

PGY2 Medication Use Safety and Policy Program Objective

This one-year PGY2 Medication Safety and Policy Pharmacy residency program is intended to expose the resident to all aspects of pharmacy practice in this Medical Center with a focus on the medication use system. This program builds on experiences gained through a PGY1 program and is designed to offer both didactic and clinical experiences leading to the development of practitioner with expert knowledge, leadership skills, and expertise in evaluating, designing and implementing a medication safety program for an institution. Graduates of this program will be well prepared for positions in Medication Safety, Formulary Management, or Medication-Use Policy.

As part of this one-year experience the resident has the unique opportunity to participate in the VA Patient Safety Fellowship program sponsored by the VA's National Center for Patient Safety (NCPS). As part of this experience the medication safety and policy resident will work as part of an interprofessional fellowship team consisting of the pharmacy resident, a graduate nurse fellow and a physician. This fellowship team attends a boot camp in early fall hosted by the VAs National Center for Patient Safety where they receive training in performance improvement processes including health care failure modes effects analysis, root cause analysis, simulation, LEAN and Six Sigma. In addition to the boot camp, the resident will participate in weekly webinars to enhance and build upon the knowledge gained. These principles and tools will be used throughout the year to evaluate and develop solutions to medication safety and policy issues identified within the institution.

In addition to working with the Interprofessional Safety team the resident will have the opportunity throughout the year to interact with the PGY2 Infectious Disease, PGY2 Internal Medicine, PGY2 Psychiatric Pharmacy and PGY1 Pharmacy Residents.

Required Rotations

• Orientation
• Informatics
• Medication Safety & Quality Improvement Course - Medical College of Wisconsin
• Drug Safety
• Formulary Management
• Simulation
• Internal Medicine (for residents who have not completed a PGY1 residency at the Milwaukee VA)
• Root Cause Analysis
• Research/Quality Improvement Project
• Pharmacy Administration
• Residency Administration
• Patient Safety and Quality Improvement
• Medication Events Committee
• Patient Safety Fellowship
• Procurement

Elective Rotations

• Concordia Teaching Experience
• Internal Medicine(for residents who have completed a PGY1 residency)

Hospital Committee Involvement

• Drug Safety Committee
• Medication Error Committee
• Clinical Bar Code Multidisciplinary Committee
• Pharmacy, Nutrition, and Therapeutics Council
• Alaris Pump workgroup
• Clnical Pharmacy Committee

TEACHING RESPONSIBILITIES
Throughout the residency year, the resident will be involved in pharmacy student, pharmacy resident and all staff education. The resident will also be responsible for assisting in precepting students and residents during the residency year.