My Residency Program Objectives

Based on the midpoint self-assessment, I have altered and refined the learning objectives that first identified at the beginning of the residency for the year ahead:

1) I will consistently develop a thorough, patient specific, pharmaceutical care plan (e.g. within two hours) and be able to effectively communicate this plan both verbally and in writing.

HOW TO REACH/ACHIEVE IT:

• Decrease the length and increase the comprehensiveness of my patient assessment form during each DPC rotation.
• Decrease my patient interview times to less than 20mins through the use of efficient, targeted questioning.
• Create timed scenarios by my 4th DPC rotation.
• Complete a patient care work up with minimal use of these tools by my oral assessment.

2) I will formulate a method to systematically identify and prioritize patients who would most benefit from a comprehensive pharmaceutical work-up.

HOW TO REACH/ACHIEVE IT:

• Discuss patient prioritization with my preceptors in the first week of my DPC rotations.
• Compare my prioritized patient list with that of my preceptors and discuss any discrepancies early in week 2.
• Continue to discuss and evaluate patient prioritization throughout the rotation as needed.
• Prioritize patients independently by the end of my 4th DPC rotation.

 

3) I will become a more effective presenter and pharmacy educator.

HOW TO REACH/ACHIEVE IT:

• Facilitate journal clubs to improve my presentation and critical thinking skills.
• Completing patient case presentations.
• Provide formal education sessions to nurses and other healthcare professionals.
• Act as pharmacy preceptor during a two week period.
• Demonstrate improvement through incorporating formal feedback.

 

4) I will be able to quickly (within 20mins) answer most drug therapy questions during DPC rotations.

HOW TO REACH/ACHIEVE IT:

• Discuss additional, rotation specific, resources with my preceptors during each DPC rotation.
• Develop a list of resources that may be used to address a wide variety of clinical questions during rotation by the end of you 4^th DPC rotation.
• Categorize and differentiate the resources based on the type of questions they will best answer (i.e. pharmacokinetics, therapeutics).
• Create timed scenarios by my 5^th DPC rotation.

 

5) I will demonstrate the ability to critically appraise literature in a systematic fashion and determine the applicability of the study to a specific patient.

HOW TO REACH/ACHIEVE IT:

• By successfully completing a BC Wide Case presentation.
• Through patient presentations on my DPC rotations.

 

6) I will develop and practice interpreting surgical reports, diagnostic imaging and related procedures to increase my knowledge to add precision to my comprehensive patient assessments.

HOW TO REACH/ACHIEVE IT:

• Select one patient each DPC rotation with a complicated history of diagnostic imaging and discuss the results in terms of the findings rather than simply conclusions.
• Select one diagnostic procedure each DPC rotation to discuss the indications, possible findings and clinical implications of each.

 

7) I will be able to write effective chart notes containing all relevant lab values and pertaining information at an appropriate length.

HOW TO REACH/ACHIEVE IT:

• Practice a consistent SOAP format when writing chart notes.
• Incorporate portions of my preceptors and colleagues writing styles into my own.
• Request my preceptors’ feedback regarding the chart note content.
• Demonstrate the ability to write concise, descriptive chart notes by my oral assessment.

 

8) I will be able to answer clinical questions by conducting minimal-risk healthcare research.

HOW TO REACH/ACHIEVE IT:

• Develop a strong research question and identify the resources required to address this.
• Organize and complete all relevant applications for project approval.
• Complete data collection and analysis.
• Present research findings at Residency Research Night.
• I will complete a manuscript for publication.

Resident midpoint self-assessment and learning plan

Based on the self-assessment at the beginning of my residency, I have identified the following learning objectives for the year ahead:

1) I will consistently develop a thorough, patient specific, pharmaceutical care plan (e.g. within two hours) and be able to effectively communicate this plan both verbally and in writing.

HOW TO REACH/ACHIEVE IT:

• Employ a written aid for patient interviewing and assessment to ensure all questions are asked.
• Develop a document outlining my thought process when assessing patient disease states including list of pertinent laboratory or test results by the end of my first DPC rotation.
• Practice using the SBAR model for verbal communication during each DPC rotation.
• Create timed scenarios by my fourth DPC rotation.
• Complete a patient care work up with minimal use of these tools by my oral assessment.

2) I will formulate a method to systematically identify and prioritize DTPs using the (8-9 categories of DTPS) to ensure consistent quality and completeness of patient pharmaceutical care work-ups.

HOW TO REACH/ACHIEVE IT:

• Discuss DTP prioritization with my preceptors in the first week of my DPC rotations.
• Compare my prioritized DTP list with that of my preceptors and discuss any discrepancies early in week 2.
• Continue to discuss and evaluate DTP prioritization throughout the rotation as needed.
• Create a process for DTP prioritization throughout the DPC rotations and add this to my patient work up document by the end of my second DPC rotation.
• Prioritize DTPs without the use of a visual aid by my fourth patient care rotation.

3) I will be able to quickly (within 20mins) answer most drug therapy questions during DPC rotations.

HOW TO REACH/ACHIEVE IT:

• Discuss additional, rotation specific, resources with my preceptors during each DPC rotation.
• Develop a list of resources that may be used to address a wide variety of clinical questions during rotation.
• Categorize and differentiate the resources based on the type of questions they will best answer (i.e. pharmacokinetics, therapeutics).
• Create timed scenarios by my 3rd DPC rotation.

4) I will become more comfortable presenting and conversing in formal learning sessions.

HOW TO REACH/ACHIEVE IT:

• Facilitate journal clubs to improve my presentation and critical thinking skills.
• Actively participate in discussions during academic half days.
• Request that my preceptor allow for one informal presentation of relevant literature to my preceptor on each DPC.
• Maintain an autonomous reflection journal of these experiences with a focus on my perceived performance and areas in need of improvement.
• Demonstrate improvement through the reflection process.

5) I will demonstrate the ability to critically appraise literature in a systematic fashion and determine the applicability of the study to a specific patient.

HOW TO REACH/ACHIEVE IT:

• Participate in courses focused on the critical appraisal of literature during week one of didactics in July.
• Request that my preceptors allow an informal presentation of a current paper in the field once per DPC rotation.
• Clearly explain my critical appraisal of the paper and my thought processes to my preceptor for feedback.
• Maintain an autonomous reflection journal of my critical appraisal exercises and the feedback in order to identify improvements and areas requiring attention.

6) I will be able to answer clinical questions by conducting minimal-risk healthcare research.

HOW TO REACH/ACHIEVE IT:

• Develop a strong research question and identify the resources required to address this.
• Organize and complete all relevant applications for project approval.
• Complete data collection and analysis.
• Present research findings at Residency Research Night.

7) I will be able to effectively and efficiently triage patients and patient DTPs to organize my workflow.

HOW TO REACH/ACHIEVE IT:

• Discuss my preceptors’ method of prioritizing workload in the first week of my DPC rotations.
• Use reflections of the day and preceptor feedback to refine my prioritization.
• Apply this knowledge and my own experience to organize my day.
• Display self-reliance in workflow organization by week 3 of DPC rotation 2.

8) I will be able to write effective chart notes containing all relevant lab values and pertaining information at an appropriate length.

HOW TO REACH/ACHIEVE IT:

• Practice a consistent SOAP format when writing chart notes.
• Incorporate portions of my preceptors and colleagues writing styles into my own.
• Request my preceptors’ feedback regarding the chart note content.
• Demonstrate the ability to write concise, descriptive chart notes by my oral assessment.

Resident self-assessment & learning plan