PGY-2 Medication Safety Residency
Ashley Trask, Pharm.D.
Ann Cabri, Pharm.D.
This PGY2 program will build on the PharmD education and PGY1 experience to develop the leadership and problem solving skills of a pharmacist responsible for the medication-use safety system in a health-system setting.
The Medication-Use Safety PGY2 residency at University of California Davis Medical Center (UCDMC) is a diverse experience designed to develop the resident’s skill in safety principles, leadership, research, planning, and process improvement. The resident will function as a member of a multidisciplinary medication safety team to identify and resolve medication safety issues within the institution. Residents will gain experience and skills in:
- Medication error analysis, follow-up, and mitigation strategies
- Adverse event assessment, reporting, and mitigation strategies
- Leadership and management
- Joint Commission Medication Management Standards & National Patient Safety Goals
- Hospital accreditation survey readiness
- National and state regulatory compliance
- Computerized Prescriber Order Entry (CPOE)
- Smart pump utilization and library management
- Automated dispensing machines (Pyxis)
- Bar code medication dispensing (BCMD) and radio frequency identification (RFID) tagging
- Bar code medication administration (BCMA)
- Clinical decision support within the electronic medical record (Epic)
- Performance improvement methods including: failure modes and effects analysis; root cause analysis; Lean Six Sigma; and, leading teams through process from implementation to outcome measurement
- Newsletter writing
- Policy and guideline development
The Medication-Use Safety PGY2 resident will complete an orientation process designed to introduce them to the role of pharmacists and pharmacy practice at UCDMC. Orientation will include training in all operations roles in our centralized pharmacy, similar to the training provided to all of our medication safety pharmacists. Throughout the year the resident will gain the skills to function as a full member of the medication safety pharmacy team, including: incident report review; meeting facilitation; and, process improvement. Additional experience will be attained through project work, which may be longitudinal in nature. Projects will be determined by the resident’s interests and institutional need. Supplemental rotation experiences may be incorporated based on the resident’s identified areas of interest or project needs. (For example, a pediatrics rotation with an emphasis in medication safety may be pursued in order to better inform a process improvement project in that area, such as development of a pediatric-specific competency certification program for technicians and pharmacists who prepare pediatric medications, a recommendation from the Institute for Safe Medication Practices in 2015).
Medication safety pharmacists at UCDMC lead and participate on many multidisciplinary committees to ensure safe medication-use practices and process improvement throughout the health system. The resident will have opportunities to participate, coordinate or attend the following committee meetings:
- Pharmacy & Therapeutics
- Medication Error Reduction Committee (MERC)
- Pediatric MERC
- Nursing Pharmacy Medication Safety Committee
- Infusion Pump Safety Committee
- Electronic Medical Record Pharmacy Team
- Emergency Department & Pharmacy Continuous Quality Improvement
- Multidisciplinary Diabetes Care Committee
- Patient Safety Events Committee
- Pain & Sedation Subcommittee
- Other committees as deemed relevant to customized learning experience and project work
Teaching & Public Speaking
The resident will work with PGY1 pharmacy residents and precept fourth year pharmacy students completing a medication safety learning experience. All pharmacy residents are expected to deliver a continuing education grand rounds seminar during their residency year. In addition, they will have the opportunity to teach other healthcare disciplines through the Center for the Professional Practice of Nursing. Completion of a teaching certificate is an optional experience and would be available through the program in place for our PGY1 residents.
Understanding the pharmacist’s role in the medication-use process is essential for a medication-use safety pharmacist. Once the resident has been trained in pharmacy operations at UCDMC they will receive an operations staffing assignment one weekend per month.
The resident will be expected to complete a major research project during the year, along with other project based medication use evaluation work. The resident research project will, and other work may, be submitted for publication. In addition, the resident is expected to present their research project in a platform presentation at a regional or national meeting.