Internship Program Outline Brief Overview Intern programs have

Internship Program Outline

Brief Overview �Intern programs have been utilized in many institutions (St. Luke’s, St. John’s, Froedtert, Utah, UMH) �Goals of Program at Froedtert: Interns to become extenders of pharmacy services Reduce HR time and expense Increase clinical duties of pharmacists Prepare intern’s to be competitive candidates for PGY 1 residencies

Program Structure �Intern program over 4 years with specific goals, objectives, training, and practice requirements �Intern Meetings No more than 4 per year �Intern Advisory Program �Yearly Evaluations

PSY 1 Goals �Prepare and dispense medications according to best practice and organization’s policy and procedures �Provide service to patients and other health care members by integrating the culture of Yes into required activities

PSY 1 Expectation �Preparation of medications to be dispensed �Packaging of medications to be dispensed �Non-sterile compounding of medications to be dispensed �Stocking of medications �Adhering to the Culture of Yes with all interactions within the pharmacy department. �Attendance of 75% to intern meetings (excused absences will not count against the attendance)

PSY 2 Goals �Demonstrate effective mentoring and orientation to new PSY 1’s �Provide effective education and training on medication-use topics to health care professionals. �Communicate effective with patients to obtain history of medication use �Monitor therapy by evaluating appropriate use of agents in specific situations, include contrast and warfarin monitoring.

PSY 2 Expectations �PSY 1 Expectations �Orientation and training of PSY 1 Interns �Preparation of sterile compounding �Documenting medication histories from patients �Evaluating appropriateness of therapy for specific uses, including contrast evaluation and warfarin dose evaluation per policy. �One educational inservice during a departmental meeting.

PSY 3 Goals �Demonstrate effective mentoring and orientation to PSY 2 �Effectively recommend and implement changes to medication therapy according to policy and procedures �Provide educational activities to patients and health care providers �Develop therapeutic recommendations for specific patients �Make recommendations for patients to optimize medical therapy to members of the health care team

PSY 3 Expectations � PSY 1, PSY 2 Expectations � Orientation and training of the PSY 2 interns � Evaluating appropriateness of therapy for specific uses including IV to PO interchange, renal dose adjustment, and others. � Document medication histories, complete with suggested recommendations. � Provide effective and informative patient education (at admission, discharge, or with new medications) Anticoagulation education � Complete one project under the following categories: MUE Research Project Departmental Project (such as Poison Prevention Week)

PSY 4 Goals �Demonstrate effective mentoring and orientation to PSY 3 �Design evidence based therapy to appropriately treat each patient according to department standards, such as pharmacy dosing service protocol �Complete documentation of activities in curriculum vitae and internship portfolio

PSY 4 Expectations �PSY 1, 2, 3 expectations �Orientation and training of the PSY 3 interns �Evaluating appropriateness of therapy in advanced settings – Pharmacy dosing services, delirium consult review, fall consult review. �Completion of ongoing projects. �Review of program and suggestions for improvement.

Program Structure �Intern program over 4 years with specific goals, objectives, training, and practice requirements �Intern Meetings No more than 4 per year �Intern Advisory Program �Yearly Evaluations

Intern Meetings �Mandatory meetings (unless excused) No more than 4 per year �Topics JCAHO Accreditation, Resume and CV Writing, Interviewing Skills, Clinical Skills, Financial Planning, Leadership, Time Management, Pharmacokinetic Calculations, Care for the Culturally Diverse.

Intern Advisory Committee �Meet semi-annually �Be responsible to: Approve internship program goals and objectives. Evaluate the quality and appropriateness of learning experiences. Ensure intern requirements are met. Approve the internship program manual. Review and approve each intern's training activities and progress Address other professional and operational issues relating to the training of interns. Provide advice concerning the future direction of the program.

Yearly Evaluations � 3 Part additional components Part 1: Goals (career, intern year, strengths, weakness) Part 2: Confidence and Interest in practice areas Part 3: Specific plan for each intern

Recruitment �Ideally we would have certain number of interns per class. �Expectations would be driven into scheduling assignments (i. e. M-Th PSY 3 -4 and education) �Recruit summer prior to have training be done before graduation? ? ?

Time Commitment �Interns time to complete the drug-therapy management skills: Part of medication history shifts? Part of central? Nightly assigments? Any changes on FTE for pharmacists?

Pharmacist Supervision �Interns will be trained and competent on all tasks in order to perform �Pharmacists will be expected to review, advise, precept. i. e. Dosing Service, Consult, Education, Contrast Review Pharmacist-in-charge?

HR, others �Job descriptions �Recruitment

Timeline �November 2013 First intern meeting with CV, interview skills �February 2014 Contrast evaluations, warfarin dosing �April 2013 IV to PO, renal dose adjustments, med history recommendations �July 2014 Education training �August 2014 All aboard with PSY 4 activities to be initiated the start of 2015