Pharmacy Residency
PROGRAM
OVERVIEW
Health Plan of San Joaquin PGY1 Managed Care Pharmacy Residency Program is unique in providing a
balanced exposure to longitudinal ambulatory care practice as well as the operation of a Medicaid managed care HMO. The primary emphasis is placed on the application of clinical skill on the development and implementation of medication use management initiatives and policies, clinical programs, clinical analytics, formulary and disease management, pharmacoeconomic and outcome assessment, drug information, and effective communication. The resident will be involved in classroom teaching and presenting clerkship students from University of the Pacific. By the end of the program, HPSJ’s goal is to have provided the resident with the necessary knowledge and skills to be a leader in managed care. The HPSJ PGY1 Managed Care Pharmacy Residency has an accreditation pre-candidate status with ASHP in partnership with AMCP.
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EVIOUS
ESIDENTS
Leung, PharmD Resident 2006-2007 sity of the Pacific, PharmD of 2006 nt Employment: Director of Clinical Analytical gies - WellPoint
Jonathan Szkotak, PharmD HPSJ Resident 2011-2012 University of New Mexico, PharmD Class of 2011 Current Employment: Director of Pharmacy Health Plan of San Joaquin
athan Yeh, PharmD Resident 2007-2008 sity of Southern California, PharmD of 2007 nt Employment: Director of Clinical Programs h Plan of San Joaquin
Marybeth Derbyshire, PharmD HPSJ Resident 2012-2013 University of Maryland, PharmD Class of 2012 Current Employment: Managed Care Pharmacist Alameda Alliance for Health
andhi, PharmD, MBA Resident 2009-2010 sity of the Pacific, PharmD of 2009 nt Employment: Clinical Program Manager mpact
Ming Shen, PharmD HPSJ Resident 2013-2014 University of Massachusetts, PharmD Class of 2013 Current Employment: [Pending]
Tam, PharmD Resident 2010-2011 3 sity of California, San Francisco, PharmD
CURRENT RESIDENT Brenda Ng, PharmD University of the Pacific, PharmD Class of 2014
Is HPSJ Managed Care Pharmacy Residency right for me?
ASK YOURSELF,
DO I WANT TO…
• Have Havean anopportunity opportunityto tolead leadaaPharmacy P&T meeting? and Therapeutics (P&T) meeting? • Continuously improve my clinical skills and knowledge? • Participate in all aspects of managed care pharmacy longitudinally, not “rotations”? • Be a valued part of the pharmacy team? • Focus Be published on my development in a peer-reviewed of personal medical and journal professional by the end leadership? of the residency? • Design, Focus on build, my development and implement of clinical personal programs and professional from startleadership? to finish? • Participate Design, build, in meaningful and implement process clinical improvement? programs from start to finish? • Participate Build a strong in meaningful foundation of process analytical improvement? skills and become an expert in extracting clinical meaning from large amounts of data? • Build a strong foundation of analytical skills and become an expert in extracting clinical • meaning Improve the from lives large of an amounts entire population, of data? rather than one patient at a time?
• Improve View healthcare the lives as of a anwhole entire(medical, population, pharmacy, rather than and one preventative) patient at arather time?than just on drug spend utilization? • focus View healthcare as aand whole (medical, pharmacy, and preventative) rather than just • focus Gain experience on drug spend in teaching and utilization? didactic pharmacy education and as a for APPE students? • preceptor To gain experience as both in teaching didactic pharmacy education and as a • preceptor Contributefor to the APPE advancement students? of the profession of pharmacy?
• Become To contribute a leader to the in advancement managed careofpharmacy? the profession of pharmacy? • Become a leader in managed care pharmacy? If the answer is “Yes,” the residency program at HPSJ may help you achieve your career goals. If the answer is “Yes!”, the residency program at HPSJ may help you achieve your career goals. 4
STATEMENT OF
PURPOSE
The purpose of this residency is to train and prepare pharmacists to assume a clinical position in a managed care setting. These pharmacists would be qualified to perform duties in Formulary Management, Clinical Data Analysis, Prior Authorization, Disease Management, and as an APPE and Residency Preceptor. In response to the changes in healthcare delivery systems, emerging reimbursement trends, and increasing recognition of the need to improve and document drug therapy outcomes, Health Plan of San Joaquin PGY1 Managed Care Pharmacy Residency prepares pharmacists for leadership roles in the managed care setting. The program is designed to provide a solid foundation in population-based pharmaceutical care. Primary emphasis is placed on the development and implementation of medication use management initiatives and policies, clinical/disease management programs, formulary management, pharmacoeconomic and outcome assessment, strong clinical and data analytics, drug information, effective communication, teaching/mentoring skills. Residents are guided to discover and develop their own unique talents, so as to engender optimal growth and satisfaction throughout their careers. It is our goal as preceptors to nurture in our residents the knowledge, skill, insight, and commitment that will enable them to raise the level of practice of Pharmacy in the managed care environment. As a result of having completed the HPSJ PGY1 Managed Care Pharmacy Residency, graduates will have the tools to excel and lead at a variety of managed care practice sites, such as HMO/Health Plans, PBM, physician groups, pharmaceutical industry and academia.
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RMATION PROGRAM DESIGN
The 12-month (July 1st through June 30th) HPSJ Managed Care Pharmacy Residency consists of activities developed by faculty from Health Plan of San Joaquin (HPSJ), University of the Pacific (UOP) and San Joaquin General Hospital (SJGH). Functionally, the Residency is divided into eight blocks, four are of limited time and four are longitudinal. A range of specific activities has been designed within each of the blocks to ensure that residents are afforded maximum learning opportunities across the full scope of Managed Care Pharmacist roles. Please see the Learning Experience Descriptions for the full block descriptions.
BLOCK I (4 WEEKS): PHARMACY OPERATIONS/ORIENTATION This one-month block orients the resident to HPSJ, its programs, the various departments, the staff, the ASHP PharmAcademic® evaluation process, and an overview of the Residency Handbook and schedule.
BLOCK II (8 WEEKS): MEDICATION USE MANAGEMENT AND CLINICAL ANALYTICS This block will help the resident more fully develop their clinical analytical skills. The resident will take part in a pharmacy network analysis, fraud/waste/abuse analysis, and pharmaceutical spend and trend analysis.
• No weekend/holiday
n, life,7 and disability insurance hours
BLOCK III (24 WEEKS): AMBULATORY LONGITUDINAL I: CLINICAL LONGITUDINAL III: CLINICAL CARE PROGRAM DEVELOPMENT PRACTICE AND COMMUNICATIONS The resident will practice their clinical For the duration of the residency, The resident will be trained LONGITUDINAL III: AMBULATORY LONGITUDINAL I: BLOCK III (8 WEEKS): BLOCK 1 (4 WEEKS) : skills in the ambulatory care clinics the resident will develop clinical throughout the year on the clinical CARE CLINICAL PROGRAM MEDICATION USE PHARMACY OPERATIONS at San Joaquin General Hospital. centered around disease pharmacist of practice managed The aspects resident will their DEVELOPMENT MANAGEMENTprograms AND CLINICAL /ORIENTATION The resident will see patients in the management and/or quality care pharmacy. The resident will be For the duration of the residency, clinical skills in the ambulatory This one-month block orients the ANALYTICS at San Joaquin the resident The third block improvement. will help the resident to Diabetes, HPSJ, its programs, CHF, and Anticoagulation This will requirewill develop clinical involvedcare withclinics the prior authorization General Hospital. The resident programs centered around resident more fully develop the ASHP Residency Learning Clinics, create individualized plans, research into need for the program, process, drug policy reviews for will see patients in the CHF, disease management and/ their clinical analytical skills. System (RLS), and other blocks. give patient education, and monitor efficacy of the interventions, and the P&T committee meetings, and Diabetes, Coumadin, and or quality improvement. This The resident will take part in a The resident will learn about patients for therapeutic whatanalysis, clinical outcomes need to be into need communications to members Asthma Clinics, create and will require research pharmacy network the HPSJ formulary and prior outcomes. measured. individualized plans, give patient for the program, efficacyproviders. of fraud/waste/abuse analysis, authorization process BLOCK IV (20 WEEKS): TEACHING education, and monitor for and pharmaceutical spend and the interventions, and what therapeutic outcomes. outcomes be trend analysis. LONGITUDINAL II: clinical BLOCK II ( 12 WEEKS): AND MENTORING LEADERSHIP ANDneed to LONGITUDINAL IV: PROJECT measured. CLINICAL PRACTICE AND A key focus of this residency is MANAGEMENT MANAGEMENT LONGITUDINAL IV: BLOCK IV (8 WEEKS): COMMUNICATIONS preparing the resident to contribute Throughout the residency, the One of the most valuable skills PROJECT MANAGEMENT LONGITUDINAL II: In the second block, the resident TEACHING AND MENTORING to future generations resident will be developing the resident learn is project Onewill of the most valuable LEADERSHIP AND MANAGEMENT A key focus of this residency will participate in focuses on of pharmacists. The resident will act as a preceptor leadership and management management and the art of is skills the resident will learn Throughout the residency, the the clinical aspect of managed is preparing the resident to project management and will bewill developing contribute to future carefor pharmacy. The resident APPE students on Ambulatory skills. generations In this block,resident the resident managing multiple competing the art of managing multiple leadership and management of pharmacists. The resident will will participate in the prior Care and Managed Care Rotations. document individualized personal priorities. The resident will be competing priorities. The skills. In this block, the resident authorization process, develop act as a preceptor for APPE The resident will be involved in the mission, vision, goals, and values and expected to stay organized while resident will be expected to stay will document individualized monographs and class reviews students on Ambulatory Care development, facilitation, and quarterly. Themission, resident completing the residency project, the organized while completing personal vision, goals, and Managedre-evaluate Care Rotations. for the P&T committee, draft improvement of the 2nd year also meet HPSJ leadership to completing prior authorizations, residency project, completing values and re-evaluate The resident willwill also give a withand communications to members priorinformation authorizations, doing quarterly. The resident willdoing also drug didactic (if possible) and providers, and meet with Practicum class at University of the lecture discuss their and methods for leading a questions, drug information questions, meet with HPSJ leadership to serve as a facilitator for 2nd year plan Pacific. sponsors. Health Plan. contributing to the P&T meetings, University of the Pacific students discuss the leading a Health Plan contributing to the P&T, precepting APPE students, and precepting APPE students, into this era of health care. in their Practicum class. completing projects as projects they andother completing other come up thecome organization. asinthey up in the organization.
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REQUIREMENTS FOR
COMPLETION • • • •
Complete 12 full months of training (minus allowed vacation); Read the “7 Habits of Highly Effective People”; Prepare personal mission/vision/goals that are reviewed on a quarterly basis; Staff as a Clinical Pharmacist Reviewer for at least 4 continuous weeks between May to June of the residency program; • Attain an “Achieved” rating on the final evaluations for the following critical core goals and objectives: • Precept at least one APPE student as the primary preceptor; • Complete at least 1 drug monograph, 1 class review, and 1 drug utilization review and present them at the pharmacy and therapeutics committee meetings; • Perform and create a Pharmacy Expenditure Analysis/Report; • Complete at least three 8 weeks Ambulatory Care Rotations; • Complete a longitudinal residency project that is in final manuscript format ready to be presented to the RAC and possibly for publication; • Obtain a teaching certificate; • Complete 90% of the goals and objectives in PharmAcademicTM with a status of “Achieved”. Resident Assessment and Evaluation In order to ensure the resident is on track for completion of all goals and learning objectives by the end of the Residency, evaluation of the program will be done quarterly (every three months). Changes may be made to the program based on feedback from preceptors or the Resident. Evaluations are centered on the programs goals and learning objectives, and administered via PharmAcademic. It is HPSJ’s goal to customize the residency program to the Resident’s specific skills and interests. Mandatory evaluations include:
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1. Preceptor assessment of Resident performance and progress towards learning objectives 2. Resident self-evaluation of performance 3. Resident evaluation of preceptors and learning experiences
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APPLICANT
INFORMATION // Type of Residency PGY1 Managed Care Pharmacy Residency // Accreditation Status Pre-candidate // Length of Program 12 months // Number of Positions One // Application Deadline January 7, 2019 // Onsite Interview Required // Requirements Pharm.D. from an ACPE-accredited college of pharmacy or equivalent experience, eligible for California licensure, good academic standing, excellent written and verbal communication skills. Strong analytical skills. Strong leadership qualities. // Estimated Stipend $45,000 // Fringe Benefits • Health, dental, vision, life, and disability insurance available • Paid time off • Professional travel and stipend available 11
BLOCK 1: PHARMACY OPERATIONS /ORIENTATION This one-month block orients new residents to HPSJ, its programs, the ASHP Residency Learning System (RLS), and other blocks. The resident will learn about the HPSJ formulary and prior authorization process BLOCK II: CLINICAL PRACTICE AND COMMUNICATIONS The second block a resident will participate in focuses on the clinical aspect of managed care pharmacy. The resident will participate in the prior authorization process, develop monographs and class reviews for the P&T committee, draft communications to members and providers, and meet with plan sponsors.
BLOCK III: MEDICATION USE MANAGEMENT AND CLINICAL ANALYTICS The third block will help the resident more fully develop their clinical analytical skills. The resident will take part in a pharmacy network analysis, fraud/waste/abuse analysis, and pharmaceutical spend and trend analysis. BLOCK IV: TEACHING AND MENTORING A key focus of this residency is preparing the resident to contribute to future generations of pharmacists. The resident will act as a preceptor for APPE students on Ambulatory Care and Managed Care Rotations. The resident will also give a didactic lecture (if possible) and serve as a facilitator for 2nd year University of the Pacific students in their Practicum class.
LONGITUDINAL I: CLINICAL PROGRAM DEVELOPMENT In this longitudinal block, the resident will develop clinical programs centered around disease management and/or quality improvement. This will require research into need for the program, efficacy of the interventions, and what clinical outcomes need to be measured.
LONGITU AMBULA The resid clinical s care clin General resident in the CH Coumad Clinics, c plans, gi educatio therape
LONGITUDINAL II: LEADERSHIP AND MANAGEMENT Throughout the residency, the resident will be developing leadership and management skills. In this block, the resident will document individualized personal mission, vision, goals, and values and reevaluate quarterly. The resident will also meet with HPSJ leadership to discuss the leading a Health Plan into this era of health care.
LONGITU PROJEC One of t skills the project m the art o compet resident to stay o complet project, authoriza informat contribu precept and 12com projects
APPLICATION
PROCESS
Health Plan of San Joaquin participates in the ASHP Pharmacy Online Residency Centralized Application Service (PhORCAS) therefore all materials should be submitted through the PhORCAS system at www.ashp.org/phorcas. Our ASHP Matching program code number is 268314. To be considered as a candidate for the HPSJ Managed Care Pharmacy Residency, applicants are required to submit the following items to PhORCAS no later than January 7, 2019: 1. A letter of interest describing why the applicant has chosen to complete a managed care pharmacy residency and why he/she is specifically interested in the residency at HPSJ (please include an e-mail address) 2. Three letters of recommendation from faculty or work supervisors. At least two must be familiar with the applicant’s clerkship performance 13
3. An official transcript of all course work completed in the professional pharmacy curriculum 4. A current curriculum vitae 5. One professional writing sample (newsletter, published manuscript, drug monograph/ review, etc) Qualified applicants will be contacted by the program director to arrange an on-site interview. The onsite interview is a required portion of the application process and will not be waived. Each candidate’s qualifications will be judged according to the following criteria: 1. All application materials received by PhORCAS no later than January 7, 2019 2. Anticipated graduation from an accredited school of pharmacy prior to the start of the residency 3. Demonstration of a strong commitment to pursuing a leadership role in managed care pharmacy 4. Strong academic background in therapeutics and pharmacology, and strong performance on clerkship rotations (note: a high GPA is helpful, but not required.) 5. Demonstrated ability to effectively apply pharmacotherapy knowledge on clerkship 6. Examples of extra effort and initiative via extra-curricular activities, special projects, or unique work experiences 7. Demonstration of strong verbal and written communication skills as well as analytical skills
PREVIOUS
PRIOR RESIDENT
RESIDENTS
Kevin Leung, PharmD HPSJ Resident 2006-2007 University of the Pacific, PharmD Class of 2006 Current Employment: Director of Clinical Analytical • Director of Pharmacy Strategies - WellPoint
CAREERS
Jonathan Szkotak, PharmD 2006 TO PRESENT HPSJ Resident 2011-2012 University of New Mexico, PharmD Class of 2011 Current Employment: Director of Pharmacy Health Plan of San Joaquin
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Director of Clinical Analytics
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Medicare Part D Pharmacy Manager
Marybeth Derbyshire, PharmD Johnathan Yeh, PharmD Resident 2012-2013Advisor HPSJ Resident 2007-2008 • Senior Associate Director,HPSJ Account Medical University of Maryland, PharmD Class of 2012 University of Southern California, PharmD Class of 2007 • Senior Pharmacist, Pharmacy Product Strategy and Care Operations Current Employment: Managed Pharmacist Current Employment: Director of Clinical Programs Health Alameda Alliance for Health Plan of San Joaquin Raj Gandhi, PharmD, MBA• Pharmacy Manager, HPSJ Resident 2009-2010 • Formulary Manager University of the Pacific, PharmD Class of 2009 Current Employment: Sr, Pharmacy Manager at UHA, • Manager, Pharmacy Stanford Health Care •
Ming Shen, PharmD Strategy & Analytics
HPSJ Resident 2013-2014 University of Massachusetts, PharmD Class of 2013 Current Employment: Clinical Pharmacist for LA Care
Initiatives
PharmD Manager, Formulary andBrenda BenefitNg, Design
Selina Tam, PharmD HPSJ Resident 2010-2011 University of California, San Francisco, PharmD Class of 2010 Current Employment: Associate Director of Clinical Operations - Davita 15
Current Resident University of the Pacific, PharmD Class of 2014
PUBLICATIONS • Leung K, Shek A, Lo K. Management of Parkinson disease: Current treatments, recent advances, and future development. Formulary. 2007;42:529–544 • Yeh J, Shek A, Henriques R. Rational approaches to the treatment of mixed dyslipidemia. Formulary. 2008;43:366–378) • Gandhi R, Shek A, Yeh J, Bishop D, Baker N. Pulmonary arterial hypertension: Bridging the gap between efficacy, quality of life, and cost-effectiveness. Formulary. 2010;45;190–199 • Tam S, Shek A, Yeh J, Lopez A. Multiple sclerosis: A paradigm change with oral agents? Formulary. 2011;46:228–240 • Szkotak J, Shek A. An evidence-based review of treatment options for irritable bowel syndrome. Formulary. 2012; 47;319-329 • Derbyshire M, Shek A, Szkotak J. Review of the pharmacologic arsenal for the war on obesity. Formulary. 2013;48:136-143 16
Contact Us: Pharmacy Department 7751 South Manthey Road French Camp, California 95231 Phone: 888•936•PLAN (7526) FAX: 209•762•4704 Email: residency@hpsj.com www.hpsj.com/pharmacy-residency 17
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PMCYBRO10082018