Ambulatory Care Residency

Organization Type: 
Educational Institution
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Lecture/Didactic
Independent Study
Self Reflection Activities
Experiential including clinical contact with patients
Program Description: 

The University of Minnesota College of Pharmacy Ambulatory Care Residency Program is the largest accredited post-graduate year one (PGY1) pharmacy residency program in the country.  It is a university-managed, multi-site model that has enabled expansion of patient-centered medication management practices in primary care clinics across the state.  The program currently enrolls 21 pharmacy residents per year and holds affiliation with numerous types of health care institutions including large integrated health systems, federally-qualified health centers, small rural health systems, and a veterans affairs (VA) medical center.

In each organization, pharmacy residents are highly integrated into the services of primary care teams.  As a result of this multi-institution engagement, the program is having a broad impact on strengthening Minnesota’s pharmacy workforce while also stimulating advancement of interprofessional collaborations in medication management.  All residents are responsible for and evaluated against residency program goals of patient-care, education, practice-based research, and practice management. Residents complete most of their training at a specific host site, but also participate in several program activities such as case conferences, journal club, faculty-led pharmacotherapy sessions, and pharmaceutical care grand rounds.  The program also fosters diversity in healthcare settings by serving as an instrument for pharmacy practice development, particularly in underserved urban and rural communities.

Special features of this program include the following:

  • Most affiliated training sites are formally recognized by the Minnesota Department of Health as “Health Care Homes” (equivalent to patient-centered medical homes).
  • Some affiliated organizations have established community-based relationships for patient care and training that formally connect the services and resources of a community pharmacy to the primary care clinic.
  • The program leverages its multi-site model to expose resident pharmacists to patient care and practice management issues across multiple health care organizations through monthly, program-wide learning sessions.

The residency program has accreditation through the American Society of Health Systems Pharmacists.

Evaluated: 
Yes
Targeted Professions
Pharmacy: 
Ambulatory Care
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Risk identification
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Health information technology, including e-communications with patients & other providers
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.

 

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