Fairview Health Services Ambulatory Care Residency

Organization Type: 
Not For Profit
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
Other
Other Element(s): 
This is a longititudinal experience- the resident will establish themselves in two practice sites and provide medication management for that population.
Program Description: 

Fairview is a not-for-profit healthcare system in Minneapolis/St. Paul with eight hospitals, 42 primary care clinics, 55 specialty clinics, 26 senior housing locations, and 28 retail outpatient pharmacies. In 2012, Fairview was designated as a Medicare Pioneer Accountable Care Organization.  Fairview has provided medication therapy management (MTM) services in their clinics since 1998 and currently has 29 different MTM locations. Twenty-four of these are in Fairview Primary Care Clinics and five are in a Fairview Specialty Clinic.

The Fairview Health Services Ambulatory Care Residency program enables residents to work collaboratively with clinic care teams consisting of physicians, certified nurse practitioners, physician assistants, nurses, certified diabetes educators, behavioral specialists, and care coordinators.  During this longitudinal experience, residents will establish themselves in two practice sites to provide medication management for those populations.   All residents are evaluated against the following residency program goals: patient care, education, practice-based research, and practice management.

 The resident is responsible for all aspects of medication management, including:

  • Creating a patient care schedule
  • Reviewing the patient’s medication profile (including medication reconciliation)
  • Interviewing and assessing patients to ensure medications are indicated, effective, safe, and convenient
  • Evaluating and interpreting laboratory results
  • Identifying drug-related problems
  • Educating patients on disease states, medications, devices, and prevention
  • Formulating and implementing treatment plans
  • Determining and ordering appropriate follow-ups
  • Collaborating with providers and preceptors when appropriate
  • Documenting in medical records

Other activities the resident can participate in include case conferences, journal clubs, faculty-directed pharmacotherapy sessions, pharmaceutical care grand rounds, writing for a program-wide drug information newsletter and visits to affiliated practice sites.  In addition, residents complete a research project and attend at least one national pharmacy conference during the residency year.

This program is accredited by the American Society of Health-System Pharmacists (ASHP).  To learn more about Fairview's MTM program you can visit fairviewmtm.org

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: 
Assessment of biopsychosocial needs across the lifespan
Population-based approaches to health care delivery
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
Business models for patient-centered integrated care
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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