Download Infectious Diseases Pharmacy Practice Residency

Mayo School of Health Sciences
Infectious Diseases
Pharmacy Practice Residency
Rochester, Minnesota
www.mayo.edu
Infectious Diseases Pharmacy Practice Residency
PROGRAM DESCRIPTION
The Mayo School of Health Sciences (MSHS) at Mayo Clinic in
Rochester, Minn., offers a one-year postgraduate Infectious Diseases
Pharmacy Practice Residency for practitioners who desire advanced
training in infectious diseases pharmacotherapy.
The program provides the high-quality didactic and clinical
experiences you need to become a well-rounded, infectious disease
pharmacist. As an infectious diseases pharmacy practice resident, you
will:
• Develop expertise, knowledge and skills in infectious disease
therapeutics.
• Observe and learn about many common and uncommon infections
from patients around the world.
• Learn to function as an independent infectious disease pharmacy
practitioner.
• Strengthen your communication skills by presenting formal and
informal lectures, and writing a professional manuscript.
• Enhance your teaching skills by precepting general practice residents
and/or students on infectious disease rotations.
• Advance your skills in conducting clinical research.
This specialized residency will prepare you for the challenges of
infectious diseases pharmacy practice. During each rotation you will
work closely with your primary preceptor, highly qualified clinical
pharmacists, as well as infectious disease physicians and other allied
health professionals.
ACCREDITATION
Mayo School of Health Sciences’ Infectious Disease Pharmacy Practice
Residency is accredited by the American Society of Health-System
Pharmacists (ASHP).
Mayo Foundation is also accredited by the North Central Association
of Colleges and Schools Higher Learning Commission.
Higher Learning Commission
30 N. LaSalle Street, Suite 2400
Chicago, IL 60602-2504
(800) 621-7440
(312) 263-0456
Fax: (312) 263-7462
www.ncacihe.org
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FACILITIES
The Mayo Clinic campus in Rochester is comprised of an extensive
outpatient complex, Saint Marys Hospital, Rochester Methodist
Hospital, as well as multiple and research and education facilities. It is
among the largest, most advanced medical centers in the world.
PHARMACY SERVICES
Mayo Clinic’s Pharmacy Services employs about 300 people, including
approximately 130 pharmacists. The pharmacies operate 24 hours per
day and provide pharmaceutical services, including:
• Central pharmacy distribution
• Sterile and non-sterile compounding
• Computerized intravenous admixture and unit dose dispensing
• Investigational drug studies
• Skilled nursing facility dispensing and consulting
• Decentralized pharmacist practice
• Pharmacokinetic monitoring
• Patient education programs
• Clinical pharmacy specialty practices
• Drug information programs
• In-service education
• Pharmacy Therapeutics and Formulary Committee support
Mayo Clinic uses a computer-based pharmaceutical care (P-Care)
monitoring system. P-Care integrates data from disparate computer
systems, including pharmacy, admissions, laboratory and
microbiology. Computerized algorithms utilize this data to alert
pharmacists to potential situations where therapy, safety or costs can
be improved. Performing daily pharmaceutical care duties, P-Care is
used to:
• Provide patient demographic data, laboratory data, microbiology data,
medications, parenteral nutrition information and drug levels while
on team rounds, during order processing and during medication
profile review.
• Identify patients whose medication therapy requires a pharmacist’s
daily review.
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• Identify and review treatments that are inconsistent with established
medication rule-based algorithms.
• Document pharmacist-performed clinical activities, interventions and
monitoring notes.
• Provide a forum for pharmacists, pharmacy residents and pharmacy
students to communicate pertinent patient-specific, medication-related
issues.
CERTIFICATION
Upon successful completion of your Infectious Diseases Pharmacy
Practice Residency, you will receive a Certificate of Completion from
Mayo Clinic College of Medicine, Mayo School of Health Sciences.
HOURS
For the majority of the residency, your learning schedule will include
eight-hour days, five days per week. In addition, if you do not have
previous work experience in a decentral pharmacy, you will be
scheduled to provide practice coverage four hours per week.
POSITIONS
Each year, Mayo School of Health Sciences admits one resident to its
Infectious Diseases Pharmacy Practice Residency at Mayo Clinic in
Rochester. This ensures you will receive a comprehensive educational
experience with close one-on-one instruction.
Curriculum
CLINICAL TRAINING
As a resident in infectious diseases pharmacy, you will devote much of
your time to comprehensive clinical training in:
• Direct patient care services in inpatient and outpatient settings
• Pharmacokinetic monitoring
• Drug information
• Research
• Computer-based antimicrobial monitoring
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DIRECT PATIENT CARE SERVICES
Throughout your residency, you will be an integral member of a
multidisciplinary patient care team in one of Mayo Clinic’s infectious
diseases practice areas. By providing patient-specific pharmaceutical
care services and developing pharmacotherapeutic care plans, you will
enhance your skills in:
• Developing problem lists and defining therapeutic goals.
• Developing individualized therapeutic plans for infectious diseases
patients.
• Monitoring drug therapy and enhancing patient outcomes.
• Providing drug information and education to health-care practitioners.
• Counseling and educating patients on medication use.
• Assessing and practicing evidence-based medicine.
• Promoting cost-effective pharmacy practice.
PHARMACOKINETIC MONITORING
You will provide pharmacokinetic monitoring for the infectious
disease services. You also will serve as an information resource for
other pharmacists providing these services throughout the hospital. As
part of this monitoring, you will:
• Participate in ordering appropriate assays.
• Evaluate serum drug concentrations.
• Provide timely dosing and monitoring suggestions to the appropriate
service.
• Document interventions according to pharmacy department protocol.
DRUG INFORMATION
Throughout the residency you will:
• Provide drug information to physicians, nurses, pharmacists and
allied health professionals.
• Enhance your drug information retrieval skills using a variety of
resources.
• Participate in medication use reviews and adverse drug reaction
reporting.
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RESEARCH TRAINING
You will work on at least one research project throughout your
residency year. Your primary preceptor will help you identify the
project, which will give you experience in:
• Organizing, planning and conducting research-related tasks.
• Managing time and maintaining accuracy while multitasking.
• Developing investigational skills.
• Writing a research protocol.
• Evaluating and completing a project.
You will be encouraged to publish the results of your research in a
peer-reviewed journal and/or to present the results as a poster or
platform presentation at a national meeting. You will have time
devoted specifically to your research project during the academic year.
COMPUTER-BASED ANTIMICROBIAL MONITORING
Mayo Clinic has developed a computerized program that incorporates
data from several sources, including the pharmacy computer system
and the microbiology and chemistry laborartory systems.
Computerized algorithms that utilize this data have been designed to
detect situations where antimicrobial therapy could be optimized.
Examples of detected situations include infections not optimally
treated based on organism and susceptibility patterns, drug
interactions and duplications, opportunities for more cost effective
therapy, formulary management issues, and inadequate drug or
culture monitoring.
You will work with the primary preceptor, infectious disease
physicians and computer programmers to:
• Assess the therapy of patients that have been identified as having
potentially suboptimal therapy.
• Intervene with medical/surgical services when appropriate.
• Document interventions and outcomes.
• Identify opportunities for the development of new algorithms.
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ROTATIONS
The rotation schedule for the one-year Infectious Diseases Pharmacy
Practice Residency will include:
Orientation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 weeks
Rotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 weeks
Professional conferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 weeks
Paid time off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 weeks
TOTAL
52 weeks
ROTATION DESCRIPTIONS
Orientation
Your residency will begin with an orientation program, which
includes an introduction to clinical services and to Mayo’s drug
distribution system. Computer and drug information retrieval,
training and departmental competencies also are completed during
this time. In addition, you will receive orientation to the computerbased antimicrobial monitoring program and the HIV Clinic.
Core Rotations
During the program the following rotations will be incorporated into
your tailored residency program:
- Foundations in microbiology laboratory
- Adult infectious diseases service(s)
- Critical care infectious diseases service
- Hematology/oncology infectious diseases service
- HIV Clinic (throughout the year)
- Computer-based antimicrobial monitoring (throughout
the year)
- Drug information (if no previous formalized training)
Additional Rotations
The Infectious Diseases Pharmacy Practice Residency is tailored to
meet your goals and objectives. You may choose additional rotations
from:
Infectious Disease
- Transplantation infectious diseases service
- Pediatric infectious diseases service
- Infection control
- Pharmacokinetic monitoring
Complementary rotation opportunities
- General medical/surgical intensive care
- Internal medicine
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- Cardiology
- Hematology/oncology
- Neurology
- Bone marrow and/or organ transplantation
- Pediatrics
- Nutrition support
- Nephrology
PRACTICE COVERAGE
If you do not have previous work experience in a decentral pharmacy,
you will provide practice coverage four hours per week. The goal of
this experience is to help you integrate your didactic and patient care
knowledge into the actual day-to-day practice of pharmaceutical care
in a tertiary care medical center.
PROFESSIONAL CONFERENCES
During your residency you will have the opportunity to attend these
professional conferences:
• ASHP Midyear Clinical Meeting
• Midwest Pharmacy Residents Conference
• Infectious diseases specialty conference
EVALUATION
Core standards for resident performance have been established to
provide clear expectations. The Residency Learning System (RLS) is
used to ensure that you will receive ongoing feedback that facilitates
the development of your skills throughout the year. This feedback
utilizes consistent assessment criteria and provides a mechanism to
improve your monitoring skills.
GRADUATION AND CERTIFICATION
Upon successful completion of your Infectious Diseases Pharmacy
Practice Residency, you will receive a Certificate of Completion from
Mayo Clinic College of Medicine, Mayo School of Health Sciences.
To successfully complete this specialized residency, you must:
• Obtain a minimum of 2,000 hours of training time over no less than 50
weeks.
• Meet the behavioral objectives for each rotation and for the program in
general.
• Complete a research project satisfactorily.
• Contribute to providing the best patient care and to achieving the
mission and goals of Pharmacy Services.
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Faculty
TEACHING FACULTY
The Infectious Diseases Pharmacy Practice Residency draws its faculty
from the clinical, scientific and technical staff throughout Mayo Clinic.
They are chosen for their commitment to teaching as well as clinical
practice and/or research. Many have published and lectured
extensively and are highly regarded in their field.
You will have access to these individuals throughout your training with the opportunity to learn directly from some of today’s best
practitioners in infectious diseases pharmacy.
VISITING PROFESSORS/LECTURERS
A hallmark of higher education excellence is the breadth and depth of
information and experience provided residents by the faculty and
visiting experts. Many prominent professors visit Mayo Clinic to
lecture on their areas of medical and scientific expertise each year. As a
resident of Mayo School of Health Sciences, you are encouraged to
attend all conferences, lectures and seminars prepared for students,
residents, fellows and consulting staff.
LECTURES AND CONFERENCES
Numerous internal lectures, journal clubs and conferences related to
infectious diseases and HIV take place each month.
Pharmacy education programs, case presentations and BCPS review
sessions also regularly take place.
Admissions
PREREQUISITES
To be eligible for Mayo Clinic’s Infectious Diseases Pharmacy Practice
Residency, you must have:
• A Doctor of Pharmacy degree from an accredited college of pharmacy.
• Completed a pharmacy practice residency or equivalent experience.
• A Minnesota license or be eligible for licensure in Minnesota.
POLICIES AND RESPONSIBILITIES
The following Mayo School of Health Sciences policies affect
applications and admissions to its programs:
English fluency
Fluency in written and spoken English is essential to succeed in the
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program and to ensure patient safety. If English is a second language,
you must be able to demonstrate fluency. Satisfactory performance on
the Test of English as a Foreign Language examination or the
Michigan Test of English Language Proficiency must be documented
as proof of fluency. Your test results must be less than two years old.
Immunization record
For the protection of patients, residents and employees, and in
compliance with state regulations, Mayo Clinic requires residents to be
properly immunized. You must show proof of the following
immunizations before you begin a program at Mayo School of Health
Sciences:
• Tuberculin test in the past six months
• Varicella, rubella and rubeola immunity
• Up-to-date diphtheria and tetanus shots
• Hepatitis B vaccination or signed declaration
Documentation of vaccinations must be provided to Mayo Employee
Health Service prior to the start of the program.
Health status
Prospective residents will undergo a physical examination or nurse’s
review at Mayo Clinic and will have the opportunity to update or
receive the required tests and immunizations cited above. More
information about the physical exam will be provided after you have
been offered a program appointment. Appointment to the program
depends upon successful completion of the physical examination.
Medical insurance
Residents must have medical insurance coverage during their
program. Resident medical insurance can be purchased through Mayo
Clinic.
You can also choose to have your medical insurance covered through
other, non-Mayo plans (i.e., insurance held through a parent or
spouse, or an independent commercial plan). Evidence of medical
coverage must be provided when your educational program begins.
Background check
Prospective residents must pass a criminal background check and/or
drug screening required by state laws, prior to enrollment to Mayo
School of Health Sciences.
Resident responsibilities
Residents are required to exhibit professional and ethical conduct at all
times.
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TECHNICAL STANDARDS
Mayo School of Health Sciences accepts residents who are highly
qualified for its programs. To be considered for admittance you should
exhibit strong qualifications for the residency program you wish to
pursue. Applicants to programs must possess the following general
qualities:
• Critical thinking skills
• Sound judgment
• Emotional stability and maturity
• Empathy for others
• Physical and mental stamina
• Ability to learn and function in a variety of settings
You must be able to perform the essential functions of the profession
and meet the standards of the program. Residents seeking exceptions
to these standards or reasonable accommodations should initiate their
request with the program’s director.
Application Process
POSITIONS
One candidate is selected each year for Mayo School of Health
Sciences’ Infectious Diseases Pharmacy Practice Residency at Mayo
Clinic in Rochester on a competitive basis.
The program begins on July 1.
APPLY
• To apply to the Infectious Diseases Pharmacy Practice Residency,
please:
1. Mail in one envelope an official transcript from your college of
pharmacy and a curriculum vitae to:
Mayo Clinic College of Medicine
Mayo School of Health Sciences
Siebens Medical Education Building 1138
200 First Street SW
Rochester, MN 55905
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2. Complete the online Mayo School of Health Sciences application
form, noting the following instructions:
A. Under Education Information:
• Do not include information about your high school or prepharmacy training.
• Include information about your pharmacy school.
• Include information about your residency training.
B. Do not complete the sections titled Standardized Testing and
Essay Questions.
C. Under Recommendations, enter the information needed to
provide three letters of recommendation. For those who wish
to submit their letter of reference on paper, please download
and print a copy of the reference form and follow the
directions for paper references. References on paper should be
mailed to Mayo Clinic College of Medicine in the same
envelope containing the college transcript and curriculum
vitae.
• Your application and all supporting documentation must be received
by Jan. 15 of the year you wish to begin classes.
• Applicants considered for an appointment will be invited to visit
Mayo Clinic for a personal interview with the program director and
selected faculty. An interview can be arranged only when your
application file is complete.
• Mayo School of Health Sciences upholds all federal and state laws that
preclude discrimination on the basis of race, sex, age, religion, national
origin, marital status, sexual orientation, disabilities or veteran’s
status.
• Mayo School of Health Sciences is committed to developing and
maintaining the very best education programs. Changes may be made
to the curriculum and other aspects of this program as necessary to
assure the highest-quality training.
Stipend & Benefits
As an infectious diseases pharmacy practice resident, you will receive
a yearly stipend. The annual stipend for this residency in 2004 is
$36,000.
You are responsible for providing your living accommodations,
although relocation assistance is available.
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Pharmacy Programs & Career Overview
FIELD DESCRIPTION
Pharmacists are experts on the properties and proper use of medicines.
They consult with physicians and other health-care practitioners on
drug selection, dosage, interactions and potential side effects.
Pharmacists are licensed to dispense prescribed medicines, and they
advise patients on how to correctly use and benefit from their
medications.
Pharmacists are trained in the composition of drugs and, when
necessary, may compound medicines, mixing chemical ingredients to
form powders, tablets, capsules, ointments or solutions.
Pharmacists are responsible for the accuracy of every prescription that
is filled, often relying upon pharmacy technicians and pharmacy aides
to assist them. Thus, the pharmacist may delegate prescription-filling
and administrative tasks and supervise their completion.
Most pharmacists work in a community setting, such as a retail drug
store, or in a hospital or clinic. Pharmacists in hospitals and clinics
dispense medications and advise medical staff. They assess, plan and
monitor drug regimens, and counsel patients on how to take their
medications when they are discharged from the hospital. Pharmacists
also may evaluate drug therapy patterns and outcomes for patients.
Pharmacists in community or retail pharmacies counsel patients,
answering questions about prescription drug reactions and
interactions. They provide information and recommendations on overthe-counter drugs, durable medical equipment and home health-care
supplies. Those who own or manage community pharmacies may sell
nonmedical merchandise, hire and supervise personnel, and oversee
the business operations.
Some community pharmacists help patients manage conditions, such
as diabetes, asthma, smoking cessation or high blood pressure.
Pharmacists may specialize in specific drug therapy areas, such as
intravenous nutrition support, oncology (cancer) and
pharmacotherapy (the treatment of disorders with medicines).
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CAREER OPPORTUNITIES
Across the United States, pharmacists held about 217,000 jobs in 2000.
About six out of 10 worked in community pharmacies, either
independently owned or part of a drugstore chain, grocery store,
department store or mass merchandiser. Most community pharmacists
were salaried employees, but some were self-employed owners. About
21 percent of salaried pharmacists worked in hospitals, and others
worked in clinics, mail-order pharmacies, pharmaceutical wholesalers,
home health-care agencies or the federal government.
Employment of pharmacists is expected to grow faster than the
average for all occupations through the year 2010, due to the increased
pharmaceutical needs of a larger and older population and greater use
of medications. The growing numbers of middle-aged and elderly
people - who, on average, use more prescription drugs than do
younger people - will continue to spur demand for pharmacists in all
practice settings. Other factors likely to increase the demand for
pharmacists include medical and scientific advances that will make
more drugs available, new developments in genomic research and
medication distribution systems, and increasingly sophisticated
consumers seeking more information about drugs.
EARNING POTENTIAL
The annual earnings of pharmacists in 2000 ranged from $52,000 to
$89,000 a year. Median earnings in the industries employing the
largest numbers of pharmacists in 2000 were as follows:
Department stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grocery stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drug stores and proprietary stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$73,730
$72,440
$72,110
$68,760
In addition to traditional benefits, such as health-care insurance and
paid vacations and holidays, many pharmacists receive compensation
through bonuses, overtime and profit sharing.
PROFESSIONAL ORGANIZATIONS
Visit the following Web sites to learn more about pharmacy:
• American Association of Colleges of Pharmacy (www.aacp.org)
• National Association of Boards of Pharmacy (www.nabp.net)
• National Association of Chain Drug Stores (www.nacds.org)
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Program Contacts
For an application form or more information about the Infectious
Diseases Pharmacy Practice Residency at Mayo Clinic in Rochester,
please contact:
Lynn Estes, Infectious Diseases Pharmacy Practice Residency
Program Director
(507) 255-7519
Fax: (507) 255-7556
E-mail: [email protected]
or
Kate Ray, Enrollment and Student Services Director
(507) 266-4077
(800) 626-9041
Fax: (507) 284-0656
E:mail: [email protected]
Mayo Clinic College of Medicine
Mayo School of Health Sciences
Siebens Medical Education Building 1138
200 First Street SW
Rochester, MN 55905
You can also request more information on education programs offered
by Mayo School of Health Sciences.
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Notes
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Notes
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Jacksonville, FL 32224
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