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1SurvivingtheResidencyApplicationProcess
AshleyShupp,PharmD
PGY1PharmacyResident
ShandsJacksonville
KimLe,PharmD
ClinicalPharmacySpecialist,NeonatalICU
TexasChildrensHospital
SapanaDesai,PharmD
PGY1PharmacyResident
TheMethodistHospital
AngelaTong,PharmD
PGY1PharmacyResident
MichaelE.DeBakeyVeteransAffairsMedicalCenter
SagunaPatel,PharmD
ClinicalPharmacist
ChildrensMedicalCenterinDallas
ToddCanada,PharmD,BCNSP,FASHPTheUniversityofTexasMDAndersonCancerCenter
DivisionofPharmacy,Box377
1515HolcombeBoulevard
Houston,Texas770304009
Office:(713)7450685
Fax:(713)7944399
Email:[email protected]
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2The4thyearofpharmacyschoolcanbestressfulforstudentswhoareapplyingfora
postgraduateyear(PGY)1pharmacypracticeresidency.Navigatingthroughthemadnessof
theresidencyprocess,youmayfindyourselfsaying,Wow,IwishIwouldhaveknownthat
beforeIwenttoMidyearorIsureamgladIknewthatbeforeinterviewing.Thepurposeof
thisarticleistoprovideasummaryofhelpfulandimportanttidbitsofinformationthatwehave
collectedtohelp4thyearpharmacystudentsbecomebetterpreparedfortheentirePGY1
residencyprocess.Thisarticlewillcoverinformationyouneedtoknowyour3rdyearof
pharmacyschool,your4thyearbeforetheASHPMidyearClinicalMeeting,atMidyearincluding
thePersonnelPlacementService(PPS),andfollowingMidyear.
ThirdYearofPharmacySchool
WerecommendattendingtheASHPMidyearClinicalMeetingthe3rdyearofpharmacy
schoolifyouareseriouslyconsideringpostgraduatetraining.Ifyoudonthavethemoney,
applyforastipendthroughyourschoolsSocietyofHealthSystemPharmacychapter.Evenas
a3rdyearpharmacystudent,thenetworkingyoucanexperiencehashelpedshapemanyfuture
careersinpharmacy.Itisimportanttoresearchprogramsyoumightbeinterestedinby
checkingthelistingsonlineintheASHPresidencydirectory
(www.ashp.org/import/accreditation/residencydirectory.aspx)orintheOctoberAmerican
JournalofHealthSystemPharmacy,aswellasaskthemquestionsattheASHPresidency
showcaseinperson.Attendasmuchasyoupossiblycan!Itisanoverwhelmingexperience,
butgoingyour3rdyearmeansyouwillbemuchlessoverwhelmedyour4
thyearofpharmacy
school.Itoftenhelpsduringthistimetoaskwhatadviceresidencydirectors,preceptorsor
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3residentsmayhaveforyouasapharmacystudenttodoinschooltoincreaseyourchancesof
gettingacceptedintoafutureresidencyprogram.
FourthYearofPharmacySchool
BeforeMidyear
ThebeginningofSeptemberisagoodtimetostartpreparingforMidyearbyupdating
yourcurriculumvitae(CV)firstandunderstandingalltheacronyms(e.g.,PPS,PGY1,PGY2)you
willexperience.Youmaynotreallyknowwheretostart,buteveryonewillwantacopyofyour
CVsosharewhatyouhaveonyourCVwithyourrotationalpreceptors,professors,and
pharmacyemployers(includingaresidencydirectoratthesiteifpossible)togetuseful
feedbackonwhattoadditionallyincludeandhighlightforvisibility.Nextpreferablyinlate
SeptemberorearlyOctober,wesuggestexploringASHPswebsitebygoingtowww.ashp.org,
thenAccreditation,thenResidentInformationandyouwillfindtheResidencyChecklist
(whichmoststudentswillfindhelpful)alongwithotherimportantinformation.Thisisalsoa
goodtimetodevelopyourownResidencyNotebooktoputalltheinformationinacentral
locationtoorganizealltheprogramsyoumaybeconsidering,muchlikebeinganactual
pharmacyresident.Youshouldthenstartreviewingprogramswithinyourgeographiclimits(if
applicable)fromtheASHPResidencyDirectorytodeterminetheonesyoumaybeinterestedin
obtainingmoreinformation(thanlistedontheirwebresidencydescription)priortoPPS
openinginmidOctober.OncePPSisopen,youcanofficiallysearchforprograms(andtheywill
searchforyoutoo)throughCareerPharm.Table1canassistyouindeterminingoratleast
narrowingyouroptionsfortheavailableprograms.Ifyouhavepharmacyresidentsatyour
rotationsites,askthemquestionssincetheyareanimportantresourcebecausetheyjustwent
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4throughthisprocess.Animportantconsiderationistoaskformoreinformationfromstudent
rotationsitesthatalsohaveresidencyprogramssincetheywillhaveagoodideaofhowyou
performedduringyourrotationattheirsiteandtakethisintoconsiderationwhenselecting
candidates.TwomajoritemsyouneedtoknowaboutbeforegoingtoMidyeararetheNational
MatchingServiceandPPS.Table2providesmoreinformationabouttheNationalMatching
ServiceandTable3focusesonPPS.
AsMidyearapproachesandyouwilllikelybegintofeelnervous,itwillhelpreliveyour
anxietybybeingwellprepared.Table4containsalistyouwillwanttocompletebefore
Midyear,anditemsyouwillwanttobringtoMidyeartofeellessoverwhelmed.Ifyouwant
moreinformation,thereareseveralhelpfularticlesthathavebeenpreviouslypublishedin
Table5tohelpyouprepare.
PriortoMidyearisthebesttimetoidentifywhomyouwouldasktowritealetterof
referenceorrecommendationforyou.Manyresidencyprogramsmayhavetheirownformsfor
theseindividualstocompleteforyouortheymayallowuseoftheASHPResidencyApplicant
RecommendationRequestForm
(http://www.ashp.org/s_ashp/docs/files/RTP_ResidentRecomendForm.pdf).Ideally,youwill
needonefromanemployer(orpreviousemployer),collegefacultyoradvisor,andpastor
currentpreceptorwhocananswerquestionsaboutyourknowledge,skillsandabilities,aswell
asstrengthsandweaknesses.Mostprogramswillrequestthreelettersofreferenceor
recommendationthataretypicallydueinlateDecemberorJanuarywithyourresidency
application,soyoumaywanttoaskforfour(oneadditional)letterstobesureyoudonotmiss
anydeadlinesifoneofyourlettersdoesnotmakeitintime.Youwillneedtoprovidethe
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5individualswhomyouhaverequestedtowritealetteronyourbehalfacopyofyourletterof
intentforeachprogramsotheywillunderstandyourmotivationforseekingtheresidency.You
shouldalsoaskforacopyofyourlettersofreferenceorrecommendationsothatyouknowall
theinformationthattheindividualswhowillbeinterviewingyouwillbereviewingaboutyou.
Additionally,thisisagoodtimetodeterminehowlongitwilltakeforyourgraduatingcollegeor
universitytoprovideatranscriptonyourbehalf,aswellasanycostsassociatedwithobtaining
anofficialtranscript.
AtMidyear
InDecember,itisfinallytimeforthemuchanticipatedMidyearmeeting.Theeventwill
takeplacefromSundaytoThursday,butmakesuretoscheduleyourflightinonSaturdayby
midafternoonastheASHPmeetingregistrationandPPSusuallycloseby5pm(savesyoutime
Sundaymorningnottodelayanyimportantinterviews).Yourflightoutcanbeasearlyas
Wednesdaymorning,sincethemajoreventatMidyearistheResidencyShowcase,which
occursonMondayafternoon(14pm)andTuesday(811amand14pm).TheResidency
Showcaseisfreeforalltoattend,butisgenerallyverycrowdedwithallyourfellowpharmacy
studentcolleagueslookingforthebestprogramsforthem.ItisbesttoreviewtheResidency
ShowcasediagraminyourASHPregistrationmaterialstoidentifywhichprogramswillbe
participatingandwheretofindthemwiththeirspecificlocation(seeTable6).Ifyousignedup
andpaidforPPSbeforetheOctoberdeadline,Table7reviewstheprocessforhoweach
programisscheduledandtheinterviewprocess.Midyearisagreattimefornetworking,so
attendasmanynetworkingeventsthatyoucan,especiallyifyoualreadyknowwhatspecialty
areayoumaybeinterestedinpursuingasacareerpath.Itisalsoimportanttoaskspecific
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6programsiftheyhaveaneveningreception(morecommonwithuniversitybasedresidencies)
soyoucanmeetothersyoumayworkwithduringyourresidency.Therearealsoplentyof
continuingeducationeventstoattendandnetworkwithothersattheMidyearClinical
Meeting.Lastly,havefun!
AfterMidyear
IfyouwerewellpreparedforMidyear,itmayormaynothaveseemedtoostressfuland
nowitistimetochoosewheretoapply!Theapplicationandinterviewprocesscanbetime
consuming,butdonotletthatkeepyoufromapplyingorinterviewingsomewhere.Itisbestto
developforyourselfatimelinewithafinalizedlistofplacesyouwillapplytobeforeChristmas
sincesomeprogramshaveapplicationdeadlinesasearlyasDecember31st.
Applications
Thereasonyouneedtofinalizeyourlistofwhereyouareapplyingsoquicklyismainly
becauseyouneedtogivethepeoplewritingyourlettersofreferenceorrecommendationtime
tosendtheminonyourbehalf,preferablybeforethedeadline.Severalfactorsmayassistyou
infinalizingyourresidencylist,suchasdevelopingachecklistofthequalitiesinaprogramthat
aremostimportanttoyou,andthencheckingtoseewhichprogramsyouchoosetointerview
withhavemostorallofthosequalities.Italsohelpstodiscussthiswithsomeoneyoutrust,
suchasapreceptor,collegeadvisororfacultymember.Mostofthetimehavingtoexplainyour
choicestoothershelpsitbecomeclearertoyouaswell.Italsohelpstotalkwithcurrent
residentsatyourcurrentorpreviousrotations.Table8providesmoredetailsaboutthe
applicationprocess.Keepinmindthatyouneedtobewillingtointerviewatalltheplacesyou
areapplyingto,andfinanceyourwaywithtravelandlodging.Someprogramsmayofferpartial
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7fundingoroffertoprovidehousingforresidencycandidatesifyouask.Ittakeseachprogram
timetoreviewalltheirapplications,soiftheyofferyouaninterviewyoushouldplantotravel
andknowmanyofthemmayberelativelyshortnoticeformakingeconomicallyfeasibletravel
plans.
Interviews
Everyinterviewisdifferent,yettheyallhavethesamebasicstructure;sobeprepared
tospendanentireweekdayonsiteandcheckinadvancewithyourcollegeoruniversity,aswell
asyourrotationsitetogetapprovalforthedatesofyourinterviews.Manyresidencyprograms
offerinterviewsonMondaysorFridaystoallowlowerairfares(ifneeded),whilesome
programshaveinterviewsduringtheweek(typicallylocalresidencycandidates).Yes,this
meansyouwillmissyourcurrentrotationandwillhavetomakeupthehoursatsomepoint
dependingonyourcollegeoruniversity.Thegeneralstructureofwhathappensatyour
interviewincludes(seeAppendixD):
OverviewofProgram:usuallytheprogramdirectororcoordinatorwillmeetwithyouforanhourandreviewthestructureoftheresidencyyear.Listencarefullytoaskrelevant
questionsandifthereissomethingthatdoesntmakesenseorsoundrighttoyou,ask
aboutitevenifitfeelslikeadumbquestion.Manyprogramsareflexibleandallowyougo
offsiteforaspecificrotationtheymaynotbeabletooffer.Someprogramshaveeven
allowedresidentstodo2weeksinadifferentcountry!Ifyouareinterested,thisis
definitelyagoodtimetoaskaboutoffsiterotationsthatarenotavailableattheprogram
site.
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8 InterviewwithPreceptorsand/orOtherStaff:Thisiswhereyoureceivenumerous
questions,butitisalsoyourchancetoreallysharewiththeprogramhowgreata
candidateyouare!Somecandidatesprefertothinkofeveryanswertheygiveasastory,
andthenitbecomesstorytellingtimeratherthanapotentiallyintimidatingexperience.
ThecommonquestionsaskedarelistedinTable9;however,thisisbynomeansa
completelist.
Tour:Mostprogramsenlistoneoftheircurrentresidentstoprovideyouatourofthefacility,andoftentheprogramdirectororcoordinatormayalsocontribute.Itisgenerally
preferabletowearappropriatecomfortableshoesonthedayofyourinterview.
Lunch:Usuallywiththecurrentresidentsandthebesttimetoaskthemquestionsabouttheprogram.Youwillwanttoaskthemquestionswhentheprogramcoordinatoror
directorisnotaround,sotheresidentswillbehonestwithyouabouttheissuestheydo
anddontlikeabouttheirprogram.
CasePresentationorDiscussion:Eachprogrammayaskyoutoprovideapresentationororaldiscussionand/orawrittencasewithSOAPnoteorsomeothervariation.Examples
areprovidedinTable10.
WrapupandQuestions:Mostprogramsallowyouseveralopportunitiestoaskquestionsthroughouttheday,soitisreasonableifyoudonothavequestionsattheendofyour
interviewday.AdditionalhelpfulhintsfortheinterviewareprovidedinTable11with
questionexamplesprovidedinTable12andAppendixA.
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9Table1
Howtochooseresidencyprogramsofinterest
WebsitestoReview:ASHPonlineresidencydirectory(www.ashp.org/ResidencyDirectory),AmericanCollegeofClinicalPharmacy
(www.accp.com/resandfel),AmericanPharmacistsAssociation
(www.pharmacist.com/AM/Template.cfm?Section=Residencies_Advanced_Training)
Ifyouknoworareconsideringaspecificareaofpharmacypracticeyouwanttofocusyourcareer,thensearchforprogramswiththatspecificfocus.Forexample,ifyouare
interestedinambulatorycare/primarycare,trylookingatdifferentVeteransAffairs
MedicalCenterprograms.
IfyouareplanningaPGY2residencyandknowthespecialtyareayouareprimarilyinterestedinpursuing,thenreviewprogramsthatalsoofferyourspecificPGY2career
focusasaPGY1.
Ifyouareunsureorundecided,thenreviewprogramsprovidingabroadrangeofrotationssoyoucangetthegreatestrangeofpossiblecareeroptionsandhopefully
determinewhatareamostinterestsyouprofessionally.
DoyourRESEARCH!Askaroundaboutprogramsbydiscussingwithcurrentresidentsyoumaymeetduringrotationsorprofessionalmeetings.Specificallyaskabouttheir
experiencesandlistentowhattheyshareabouttheirprogramstoseeifitiswhat
qualitiesyoudesire.Asktheresidentswhathasoccurredthatwasexpectedand
unexpected.Askpreceptorsorfacultyforadviceandanywordsofwisdominmaking
finalselections.
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10 FormulatealistofrequirementsyouMUSTHAVEinaresidency(e.g.,directpatient
care,speakingandwritingopportunities,administration,research).Thiswillhelp
narrowyourfinalsearch.Theminimumgoalistodevelopalistofprogramsyouare
trulyinterestedinfindingmoreinformationaboutbeforeMidyearcomes.
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11Table2
AboutTheMatchingProcess
www.natmatch.com/ashprmp/o ThisisalsolinkedfromtheASHPwebsite
(www.ashp.org/Import/ACCREDITATION/ResidentInfo/SeekingaResidency.aspx).
Cost:$112 TheonlineregistrationdeadlineisinearlyJanuarysodonotdelayinsigningup.You
willreceiveaninformationpacketinthemailshortlyaftertheirregistrationdeadline
passes.
Afteryouregister,writedownyourmatchingnumber(a5digitapplicantcodenumber)andputitinyourResidencyfolder.Youwillneeditforyourletterofintent
forsomeprograms.
YouarerequiredtocompleteyourinterviewsbyearlyMarchsoyoucansubmityourRankOrderListofprogramsyouwouldbewillingtoacceptanofferprovidedthey
selectyouaswell.
TheMatchingProcessresultsaregenerallyavailableinmidMarchtoseeifyoumatchedwithanyoftheprogramsyoulistedonyourRankOrderList.
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12Table3
AboutPersonnelPlacementService(CareerPharm)
Cost:$60 WheretofindPPS:ASHPswebsite AllowsyoutointerviewONLYduringMidyear;however,itdoesnottaketheplace
ofanonsiteinterview.Ifyoudontsignup,youcannotparticipatein
interviewingatMidyear(onsiteregistrationisavailableatahigherprice).Youdo
notneedtosignupforPPSifyouareonlyplanningonattendingtheResidency
ShowcaseasaP3student.
PPSisrecommendedespeciallyifyouareinterestedinoutofstateresidenciesandalsogivesyoupracticeinterviewingforyouronsiteinterviews.
Someprograms,especiallyPGY1residencies,maynotallparticipateinPPS.BesuretostopbytheirresidencyshowcaseboothifthisisthecaseonMondayor
Tuesday.Iftheprogramwillnotbeparticipatingintheresidencyshowcase,make
planstocontactthembeforeMidyear.
OnceyouhavesignedupforPPS,postyourCVassoonasyoucaninCareerPharmsincesearchinggenerallystartsinmidOctober.Programswillthen
begintocontactyouforPPSinterviewsandyoucandothesame.Thisishighly
recommended,especiallysincePPSinterviewspotscanfillupevenbeforeyou
gettoMidyear.Ifyouarenotinterestedinaparticularprogram,besureto
respondprofessionallythatyouarelookingelsewhereifyouaresurethe
programisnotforyousotheyknowyourcareerintentions.
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13 Hereisanexampleemailtosendtoprospectiveprogramsyouareinterestedin
interviewing:
DearDr.X,
Iamcurrentlya4thyearpharmacystudentatInsertUniversityName,andmyareaof
interestisinsertyourarea.IamveryinterestedinyourPGY1residencyprogramsince
yourhospitalhasinsertinstitutionspecificsofrelevance.IwillbeattendingtheASHP
Midyearmeetingininsertcity.IfyouareparticipatinginPPS,isitpossibleformetoset
upaninterviewwithyouaheadoftime?MyCVisattachedandIlookforwardto
hearingbackfromyou!
Regards,
Insertyourname
AfteryouregisterforPPS,writedownyourmailboxnumberandputitinyourResidencyfolder.
IMPORTANTNOTE:Eachprogramhas3numbersyoullneedtoknowatMidyeariftheyareparticipatinginPPS:PPSmailboxnumber,PPSboothnumber(toknow
wheretogoforyourinterview),andresidencyshowcaseboothnumber(soyou
canfindthemonthedatetheyareparticipating).WritedownALLTHREEofthese
numbers!IftheyarentparticipatinginPPS,theywillonlyhavearesidency
showcaseboothnumber.
FindingthePPSmailboxnumber:directlyfromCareerPharm FindingthePPSboothnumber:obtainfromresidencydirector Findingtheresidencyshowcaseboothnumberanddateoftheirshowcase
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14(MondayorTuesday):OctoberissueofAmJHealthSystPharm
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15Table4
PreparingforMidyear
Professionalbusinesssuit 1520copiesofyourCV(youmayneedlessormoredependingonhowmany
programsyouareinterestedin)
Businesscards(youcaneasilymakeyourown) YourResidencyfolderandstudentportfolio ScheduleofALLevents
Developyourownschedulethatincludeseventsyouarerequiredtoattend,eventsyouwanttoattend,andstudentprogramming(allofthiscanbe
foundintheOctoberissueofAmJHealthSystPharmorintheprogramyou
receiveuponregistrationcheckinatMidyear).BesuretoincludeyourPPS
interviews,anycontinuingeducation(CE)events(youwillgetCEflyersinthe
mail),andmostimportantlytheboothsyouwanttovisitateachresidency
showcase.Besuretoincludetheresidencyboothnumberontheschedule,
alongwithallotherlocations.
Listofquestions Compilealistofquestionstoaskatinterviews(orusetheoneprovidedsee
AppendixA)andprintout1520copiesofit.Thisway,beforeeachinterview
orshowcasebooththatyouvisit,youcancirclequestionsyouwanttoask
abouteachprogram,orwritenewquestionsdown.Afteryouaskthe
question,youcansimplywritetheanswerbesideit.Besuretousea
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16differentsheetforeachprogram.Itisquickandeasy,anditcanmakeyour
Midyearexperiencesomuchlessstressful!
Thankyounotes Youmaywanttoconsiderincludingasmallprofessionalpictureofyourself
sotheycanrememberyouinthenote.
Filingsystem Asmall,flexible,inexpensivefilingfolderthathasmultipletabsinitisusually
preferred.Youcanlabelthetabswiththeprogramsyoualreadyknowyou
wanttovisit,andleaveafewopenforprogramsthatyoumightbecome
interestedinaftereachnetworkingopportunity.Eachprogramgivesyoua
lotofdifferentinformation,andyouwillbegladyoustayedorganizedwhen
itcomestimetogetapplicationscompletedontime.
Listofprogramsyouareinterestedin Reviewasmuchinformationontheprogramsyouareinterestedin,
especiallyifyouareplanningtointerviewwiththematPPS.Writethe
informationdown,ortypeitout,andkeepitinyourfilingsystem.Itreflects
verypositivelyonyouduringPPSinterviewsifyoualreadyknowinformation
abouttheirprogram!
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17Table5
HelpfulArticlesforResidencyTraining
MancusoCE,PaloucekFP.Understandingandpreparingforpharmacypracticeresidencyinterviews.AmJHealthSystPharm2004;61:16869.
NelsonT.Selectingtherightresidencyprogram.AmJHealthSystPharm2005;62:1138,1140.
PochopS.Pharmacypracticeresidencyprograms.AmJHealthSystPharm2005;62:1562,1564.
SongA.SOAPnote:WhyIwanttocompleteapharmacypracticeresidency.AmJHealthSystPharm2005;62:20412.
FitKE,PadiyaraRS,RabiSM,BurkiewiczJS.Factorsinfluencingpursuitofresidencytraining.AmJHealthSystPharm2005;62:2226,2235.
WeantKA.Onbeingapharmacyresident.AmJHealthSystPharm2006;63:12301. BurkiewiczJS,SincakCA.Onlinetoolforpharmacystudentsseekingresidency
positions.AmJHealthSystPharm2008;65:20912.
DeCoskeMA,CavanaughT,ElliottS,GarrisL,GiannakosM,HeggAM,etal.Anewpractitionersguidetoasuccessfulinterview.AmJHealthSystPharm2008;65:21003.
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18Table6
PreparingfortheMidyearResidencyShowcase
Bepreparedtobringyourlistofquestions(mentionedinTable4),asktospeakwithcurrentresidentsandtheresidencydirector,andwritedowntheanswers
theyprovide.Itcanbeahassle,andyoumighthavetotalkingroups,butgetin
there,getyourinformationandgetout.
Besuretovisitallthesitesyouareinterestedin.Ifyoucantgettheinformationyouneedrightthen,gettheircontactinformationandemailthemwithyour
additionalquestions.
Besuretotalktothecurrentorformerresidents.Nooneknowstheinsideoftheresidencyprogramliketheydo.
Ifpossible,talktotheresidencydirector.Youwillbespendingthenextyearwiththatindividualsomakesureyoucangetalongwellwithhim/her.
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19Table7
PersonnelPlacementServiceHelpfulHints
Themailboxsystemcanbeoverwhelming,butitsactuallyverysimpleinCareerPharm.Youhaveamailboxtouseincommunicatingwithresidency
programs.TheywillexpresstheirinterestinyoubyinvitingyouforaPPS
interviewthroughyourmailbox(i.e.,youwillreceiveanemailmessagefromthe
emailaddressyoulinkedtoyourmailbox)andtheyhaveamailboxthatyoucan
replytoaswell.Besuretoreplyifyouareinterestedornottoletthemknowyour
careerintentions.
Theinterviewsusuallylastaround20to30minutes.Theygenerallyaskyouquestionsregardingwhyyouwanttodoaresidency,whatyourinterestsare,why
thatspecificlocation,etc.Bepreparedtoanswerthesequestionsconciselyas
yourtimeislimited.ItishelpfultobringextracopiesofyourCVeveniftheyhave
askedyoutoemailthemone.Sometimes,thereare2to3peopleinterviewing
youandeachpersonwantsacopyofyourCV.
WearaprofessionalbusinesssuitwithappropriatecomfortableshoestoyourPPSinterviewandbeontime.
IthelpstoknowthedifferencesbetweenafellowshipandaPGY1orPGY2residencywhenyouareinterviewingassomeprogramsmayofferallthree.
Trynottoschedulemorethan68interviews,asitcanbeverystressfulandmentally/physicallydraining.Alwaysremembertoapproacheachinterviewwitha
positiveattitudeanddisplaythatconsistentlythroughoutyourinterview.Theyare
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20interviewinganumberofpeoplethatday,andyouwanttomakesureyouleavea
positivelastingimpressionbyshowinghowpassionateyouareaboutwhatyou
wanttodo.
Bringyourlistofquestions(mentionedinTable4),askquestionsnotalreadyanswered,andwritedowntheanswersastheyarespeaking.Thiswillbegood
practiceforaskingquestionsatyouronsiteinterviews.
Plantoprovideeachprogramyouinterviewwithathankyounotesincepharmacyisasmallworldandmanyprogramsinterviewthesamecandidates.Italsohelps
topersonalizeitbyincludingstatementsyouortheinterviewersmadeduringthe
interviewandwhatattractsyoutotheirprogram.
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21Table8
CompletingApplicationPackets
Letterofintent Example:seeAppendixB
LettersofRecommendation AskearlypreferablyinOctober Provideeachpersonwith:
o AnenvelopewithalistofprogramsyourequestaletterofreferenceorrecommendationonyourbehalfExample:see
AppendixC
o Prestamped,preaddressedenvelopes(doublecheckyouraddresses)foreachprogram
o Anyformsrequiredbytheprogram Followupwitheachpersonbysendingoutareminderemail3to5
businessdaysbeforeyouwanttheletterstobemailedoremailed(or
both).Manypeopleprovidingyourreferenceorrecommendationletters
maysendthemviaemailwithahardcopyinthemailtomakeittothe
specificprogrambytheirrespectiveduedate.
CV Haveitreviewedbyyourpreceptors,collegefacultyand/oraresidency
programdirectorifpossible
Transcripts
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22 Remembermanyschoolsareclosedfortheholidays,sosendrequestsin
earlytopreventdelaysincompletingyourapplicationpacket
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23Table9
CommonInterviewQuestionsforResidencyCandidates
Describeyourstrengthsandweaknesses. Whatdoyouthinkisthebiggestchallengefacingthepharmacyprofession? Wouldyoucharacterizeyourselfasaleaderorafollower? Howdoyouhandlestressandwhatdoyouliketodoforfun? Whydoyouwanttodoaresidency? Whyareyouinterestedinourprogram? Howdidyoubecomeinterestedin(areaofinterest)? Whatdoyouexpecttogainuponcompletionofthisresidencyprogram? Describethedifferenttypesofpreceptorsyouhaveexperienced,includingthe
prosandconsofeachincludingwhichyouprefer.
Wheredoyouseeyourselfprofessionallyin5and10years? Describeatimewhereyouprovidedarecommendationthatwasmetwith
resistancefromtheprescriberandexplainhowyouhandledit.
Whatisthemostsignificantclinicalinterventionyouhavemade? Howareyourtimemanagementskills? Whatdoyoudowhenyourpreceptorgivesyou3articlestoreadtonight,youhave
apresentationtomorrowandatopicdiscussion,whileMidyearisin2daysand
youhaventpackedorfinishedyourposter?
Thiscouldbeanactualquestionastheyaretryingtogetafeelforhowyouhandlestressandmanageyourtime.
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24 Describeatimewhereyouhavegoneaboveandbeyondwhatwasexpectedof
you.Whydidyoudothisandwhatwastheoutcome?
Tellmeaboutaprojectthatyousuccessfullycompletedandoneinwhichyouwerenotsuccessful.Whatdidyoulearnfromeachone?
Wehaveanexcellentpoolofcandidatesthisyear.Whyshouldwepickyouovertheothers?
Whatisyourbiggestaccomplishment(canbeoutsidetheprofessionofpharmacy)?
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25Table10
Knowledge,SkillsandAbilitiesAssessmentsforResidencyCandidates
CaseDiscussionDuringinterviewsessions,ashortcasemaybeprovidedtoyouwithabout5minutestoreviewit.Thequestionstheinterviewersweregoingto
askwerelistedatthebottomofthecasesothecandidatehastimetothink
throughtheiranswersandmakerelevantnotes.Generally,yourverbalanswers
areevaluatedandanynotesyoumadeareforyourreferenceonly.The
interviewersgenerallyattempttoprovidearelaxedenvironmentbytellingthe
candidatenottobenervousanddotheirbest.
WrittenCaseYoumaybeprovidedacomputerwith30minutestoworkupananticoagulationcaseandwriteapharmacyconsultSOAPnote.Generally,the
informationforthecasewillbeprovidedonthecomputersothecandidatecan
cutandpastelabs,diagnostictesting,vitalsignsandanyotherpertinentdatafor
yourSOAPnote.
CasePresentationCandidatearegenerallyrequiredtodoa30minutepresentationoveratopicoftheirchoice.Itisbesttochooseapresentationthat
youhavedonebeforetootherpreceptorsandreceivedpositivefeedbackonyour
performance.Besuretopracticethedaybeforeyourinterviewandanticipate
commonquestionsafterthepresentation,whilemostpreceptorswillaskseveral
practicalquestions,sobeprepared!
CasePresentationandDiscussionThecandidatemayberequiredtodoashortinformalpresentationafterbeingprovidedachoiceofseveraldifferentdisease
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26statetopics.Ifyouhavenotpreviouslydoneapresentationoveranyofthetopics
listed,itisbesttochoosethetopicyouaremostinterested.Yourpresentationwill
likelybetimedwithaspecifictimelimit(e.g.,10minutes).Anticipate10to15
preceptorsorattendeesforyourpresentationandexpectthemtostayforthe
casediscussionfollowingyourpresentation.Thiscanbeanintimidating
experience,butgenerallyanytimetheinterviewersseeyoustrugglingwitha
question,theymayaskanotherquestiontoguideyouintherightdirection.
WrittenCaseandDiscussionCandidatesareprovidedaclinicalcase,severalreferencebooks,andaprogressnotetoconstructaproblemlist(inorderof
highesttolowestpriority),therapeuticgoal(s),plan(s)fortreatment,and
monitoringforeachproblemidentified.Candidatesarethenexpectedtoworkup
thecase,writeouttheirassessmentandplan(includingdose,route,frequency,
andduration),andbepreparedtopresenta2minutesummaryofthecase.
Generally,youwillhavelessthan20minutestocompleteallofthiswork.
Followingyourpresentationofthecase,theremaybeanother10minutesof
questioningfrompreceptorsandcurrentresidentsfromtheprogram.
WrittenCaseInAdvanceTheresidencyprogramsendstheircasetoyouoneweekinadvanceofyourinterviewdate.Youarerequestedtoworkupthecase
andsendthemyouranswersthreedaysbeforeyourinterviewdate.Generally,you
donothavetopresentthecase,onlybepreparedtoanswerquestionsaboutit.
QuizThecandidateisprovidedaquizovergeneralambulatorycarequestionsorotherdiseasestatetopicareasthatmaybethemainfocusofthespecific
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27residencyprogram.Ifyouwillbereceivingaquizduringyourinterview,spend
sometimereviewingthecommondiseaseareasthattheresidencyprogram
specificallyaddresses.
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28Table11
HelpfulHintsforOnsiteInterviewing
Alwayshavequestionsprepared!ItmayseemasifinterviewersaskyouDoyouhaveanyquestionsforus?every5minutes.Generally,youdonothavetohavea
questioneverytimetheyask,butifyoudonothaveANYquestions,youmayleave
theprograminterviewerswithasensethatyouwerenotinterestedorprepared
adequatelyfortheinterview.
Doyourresearchpriortoanyinterviewtoknowwhatisuniqueforeachprogramandthereason(s)youarechoosingthem.
Scheduleyourinitialtopchoiceprograminterviewthelastifpossible(usuallylateFebruary),asthisprovidesyoupracticeinterviewingandwhattoexpect.
Keepanopenmindyoumaybethinking,remaincalmasthisisonlyaninterview,Iamnotobligatedtorankthisprogramatthecurrenttime,whileyou
mayenduprankingthemfirstonceyougetonsiteandmeettheirstaff.Yourtop
choiceinitially(beforecompletingallofyourinterviews)mayendupbeingranked
lastafteryouconsideralloftheelementsofwhatyouarelookingforina
residencyprogram.
Stayontimeespeciallyifyouarerequestedtoprovideapresentation(orothertimedactivity)andmaybeunsureofyourtimelimit.Someprogramsmaybe
flexibleinthisregardandevenallowalongertimeperiodifyouaredoingwell;
however,youmaybestoppedatyourtimelimitsoknowwhatkeypointsyou
definitelyneedtocoverinyouractivity.
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29 Makeareflectionlistaftereachinterview,besuretowriteoutalistofthe
positivesandnegativesforeachprogram.Documentwhatyouexperienced,how
theymadeyoufeel,whatwasthelearningatmosphere,whattheirresident(s)
likedanddisliked,etc.Ifyouscheduleseveralinterviews,youmayfindithelpfulto
keeparunningrankorderlist.Youwillbegladyoudidwhenitcomestimeto
rankingtheprograms!
Requestatourofthecitysomeplacesmayeventakeyououttolunchordinnerifyouask.Iftheyinviteyoutolunchordinner,plantoattendsincethisisan
appropriatetimetointeractwiththemsocially.
Askforsupportsomeprogramsprovidehousingorcoverhotelcostsassociatedwithyourinterview.
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30Table12
ValuableQuestionsforYoutoAskDuringOnsiteInterviews
Whatspecificskills,knowledgeorabilitiesareyoulookingforinaresidencycandidate?
Whatcorerotationsarethere(includingthetimingofthemintheschedule)andistheprogramflexibleintailoringrotationstomeettheresidentsneedspriorto
MidyearifthereisanareaofinterestforafuturePGY2residency?
Whattypeofmentoringcantheresidentexpectfromtheresidencyprogramdirector,individualpreceptorsand/orotherpharmacystaff?
Howmanypreceptors(onsiteandoffsite)doesyourprogramhaveandhowlonghavetheybeenassociatedwiththeprogram?
Howarepreceptorsselectedforyourprogramandwhattypeofpreceptordevelopmentdoesyourprogramofferthemandtheresident(s)?
Arepreceptorsencouragedorrequiredtoobtainboardcertificationintheirrespectiveareasfortheprogram?
Areyourresidentsencouragedtopursueboardcertification? Whatstructuredoestheprogramoffertokeepresidentsontrackwiththeirmajor
and/orminorproject(s)?
Haveyoueverhadaresidentnotcompleteyourprogram? Ifyoualreadyhaveaninterestinagivenspecialtyarea,askquestionsaboutthat
specialtyiftheyarerelevanttothesiteorprogram.Askifyoucouldgooffsiteif
theprogramdoesnotprovidearotationonsitewithinyourchosenspecialtyarea.
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31 Wheredotheresidentslivethisyear?Howfaristhecommute?Istheretraffic?Is
thereparking?WheredoyousuggestIlivenextyear?Whatisthecostoflivingin
thoseareasyousuggest?
Doyoufeelthatyourprogramisagoodfitforme?(Thisisusuallyaskedtowardtheendoftheinterview,aftertheyhavehadachancetogettoknowyoubetter.)
Astheresidencyprogramdirector,whataspectsoftheresidencywouldyoualterandwhy?
FortheResidents: Whatisatypicaldaylikeforyou? Wouldyoudoitalloveragain? Whatoriginallyattractedyoutothisprogram? Areyousatisfiedwithyourchoiceofthisprogram? Whatdoyoulikebestabouttheprogram? Whatwereyourmostandleastfavoriterotationsduringtheresidencyand
why?
Doyoureceiveusefulfeedbackfromeachpreceptoronareasforimprovementand/orareasyoumayhavemastered?
Howmuchoversightdoestheprogramdirectorandpreceptorshaveintheresidency?
Whatareyougoingtodonextyearandwouldyouconsiderstayingonasstaffhereafteryourresidency?
Whatwouldyoudodifferentlywiththeprogramifyouweretheresidency
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32director?
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33AppendixA
QuestionList
QuestionstoaskeveryResidencyProgram
1. Whatwouldyouchangeaboutyourprogram?2. Whatdidyourresidentsdoafterfinishingtheirresidency?3. Howmanyresidencypositionsdoesyourprogramoffer?4. WhatPGY2programsareorplantobeavailableinthenextyearatyourfacility?
QuestionsforInterviewers/ResidencyDirector
Application:
1. Howbigofafactorisgradepointaverage,letterofintent,lettersofreferenceorrecommendationandpresentations?
2. Whatqualitiesdoyoulookforinaresidentsapplicationspecifically?Residency,General
1. Howmanyelectivesareonsiteorpossiblyoffsite?2. Whatarethestrengthsandweaknessesofthisprogramandhowdoyouevaluate
them?
3. Howoftenisstaffingrequired?Whatkindofstaffingisexpected(e.g.,distributive,clinical,administrative)?Isthereanoncallcomponenttostaffing?
4.Whatlongitudinalcomponentsdoestheresidencyprovide?
5. Whatprofessionaltrainingdoyouprovide?(e.g.,sterile/aseptictechnique,immunizations,basiclifesupport,pediatricadvancedlifesupport,advancedtraumalife
support,advancedcardiaclifesupport)
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346. Doyoupayforanyprofessionalmembershipsorprovideresources?7. Doresidentshaveholidaybreaksoraretheyexpectedtoworkonaregularholiday
schedule?
8. Whatistheresidentcallscheduleandwhatresponsibilitiesdoesitencompass?Whattrainingdoyouprovide?
9. Whatarethecurrentpharmacydepartmentandresidencyprogramgoals?10.WhatcanIexpectintermsofautonomyordirectsupervisionduringtheresidency?11.HowmuchcontactshouldIexpecttohavewithmypreceptorandresidencydirector?12.Doresidentshavearegularoffice/deskspacetoperformtheirwork?13.Howwilltheresidentsbeevaluatedandhowoften?14.(Ifnotaccredited)Whenwilltheprogrambeaccredited?Howcomeitisnotaccredited?
Howisthisgoingtoaffectmyexperience?
Preceptors
1. Whatdoyouexpectfromyourresidents?2. Howdoyouthinktheresidentsaredoingthisyear?3. Howdoyouincorporatedirectinstruction,modeling,coachingandfacilitatingintoyour
rotationforeachresident?
Projects
1.Whatminorandmajorprojectsdoyourequire?
2. Howdoesaresidentchoosetheirmajorresearchproject?3. Haveanyofyourresidentsprojectsbeenacceptedforpublication?
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354. Whatcurrentresearchprojectsareotherpharmacistsorresidentsatthisinstitution
workingon?
Changes
1. Willyoubemakinganychangestotheprogramasaresultofthecurrentresidentsfeedback?
2. Whatdoyouthinkcanbeimproved?3. Whatchangeshaveoccurredintheprograminthelast2to5years?4. Whenisyourcurrentornextaccreditationvisitandarethereanyplansforchanges?
Institution
1. Pleasedescribeyourclinicalprogram(inpatientandoutpatientifapplicable).2. Doanyofyourpharmacistshavemedicationtherapymanagementprivileges?3. Howmanypharmacistsandtechniciansareemployedinthepharmacydepartment?4. Doyouhaveaccesstoamedicallibrary?5. Whathardcopyandonlineresourcesareofferedonsite?6. Doyouhaveaformularyandwhatimpactdoespharmacyhaveinmanagingit?7. Howmuchimpactdoyouhaveondrugtherapydecisions?8. Whatarethemostcommonquestionspharmacistsreceivefromotherhealthcare
professionals?
QuestionsforResidents
1. Whatdoyoulikeaboutthisinstitution?2. Whatdoyounotlikeaboutworkinghere?3. Howdoesitfeeltobearesidentinthislargeorsmallofaprogram?
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364. Howandwhydidyouchoosethisprogram?5. Whatisthemostchallengingaspectoftheprogram?6. Howmanyinformalandformalpresentationshaveyougiventothe
medical/nursing/pharmacystaff?Whatotheropportunitiesforpresentationsare
available?
7. Didyoureceiveanypreceptortrainingduringtheresidencyanddoyougettopreceptstudentsindependently?
Otherquestions
1. Whatteaching/preceptingopportunities(includingmedical,nursingorpharmacy)doyouprovideandhowfrequently?
2. Doyouhireyourresidentsuponprogramcompletion?3. Whatareyourpreviousresidentsdoingnow?4. WhatspecificlearningexperienceswillIbereceiving?5. Whatisyourstructureforprovidingresearchtraining?6. Whatarethebenefitsofbeingaresidentatyourinstitution?7. Howandwhydidyouchoosethispharmacyspecialty?8. Ifyouhadtodoitalloveragain,wouldyouchoosethisareaofpharmacy?Why?
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37AppendixB
SampleLetterofIntent
December15,20??
John/JaneDoe,insertcredentials
ResidencyProgramDirector
Insertaddress
DearDr./Mr./Ms.Doe,
IamveryinterestedinpursuingapositionasaPGY1pharmacypracticeresidentat
insertfacilityorinstitution.Yourinstitutionsreputationasoneofthefinest(e.g.,teaching)
hospitalsinthenationmakeitanidealsiteformypostgraduatetraining.Iamalsoexcited
abouttheexceptionallearningopportunitiesyourfacilitycanprovideespeciallyinthespecialty
areaofinsertifapplicable.
Evenbeforebeingacceptedintopharmacyschool,oneofmycareergoalshasbeento
obtainapositionasapharmacyresidentinordertoeventuallypursueapositionasa
competentclinicalpharmacist.GiventhetimeformyPGY1pharmacypracticeresidencyhas
finallycome,Iameagertogainabroadoverviewoftheclinicalopportunitiesinthefieldof
pharmacy.IalsohopetorefinemyverbalandwrittencommunicationskillssothatImaybetter
provideconsultativedruginformationservicestohealthcareprofessionalsandpatients.
UponcompletionofmyPGY1pharmacypracticeresidency,IplantopursueaPGY2
specialtyresidencyininsertifapplicablewiththehopeofonedayobtainingapositionasa
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38insertspecialtyareaclinicalpharmacyspecialist.Asaclinicalpharmacyspecialist,Iplanto
providetailoredandcompassionatepharmaceuticalcareanddruginformationintheinsert
specialtyarea.IbelievethatlearningisalifelongprocessanditprovidesarationaleforwhyI
wishtoobtainapositionthatwouldalsoallowmetheopportunitytoteachothers.
ThestudentrotationsIhavecompletedthusfar,alongwiththerotationsthatIwillsoon
completewillcontinuetohelpmedeveloptheclinicalandcommunicationskillsnecessaryto
fulfillthedemandsofaPGY1pharmacypracticeresidencysuchasyours.Ihavegained
experienceindevelopingandimplementingpharmaceuticalcareplanswhilemonitoring
patientprogress.Onmultipleoccasions,Ihavepresentedbothverbalandwrittendrug
informationtopatientsandhealthcareproviders,aswellasassistedinformularymanagement
throughdrugrestrictions.Inadditiontomyrotationexperiences,Ihaveworkedasapharmacy
studentinternatainserttypepharmacywhilepursuingmyPharm.D.degree.Iwasalsoan
activememberofseveralprofessionalpharmacyorganizationsthathavehelpedmedevelop
myleadershipskills,includinginsertifapplicable.Ibelievealloftheseexperienceshavehelped
preparemeforachallengingresidencyposition.
IlookforwardtointerviewingforthePGY1pharmacypracticeresidencyofferedat
insertinstitution/university/facility.Thankyouforyourtimeandconsideration.
Sincerely,
InsertName
ASHPmatching#insertnumber
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39Phone:
Email:
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40AppendixC
LettersofReferenceorRecommendationRequestedforListedProgramsofInterest
1) Insertinstitution/university/facilitya. Contact:insertnameandcredentialsofresidencydirectorordesigneeb. Address:insertc. Phone:insertd. Fax:inserte. Email:insertforaboveindividualf. ApplicationDeadline:insertdate(Pleasepostmarkletterbyinsertdate)g. Includeanyformsspecificallyrequiredfromtheprogramifapplicableh. Pleaseemailmeacopyofyourlettertoinsertyouremailaddressbyabove
applicationdeadlinedate.
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41AppendixD
PossibleResidencyInterviewSchedules
Example1
99:30am Meetwithprogramdirector
9:3010am Tourwithresident
1011am Casediscussionwithpreceptors(Youwillpickonecasetoworkupand
presentthiscasetothepreceptors)
11am12pm Attendinpatientroundswitharesidencypreceptor
121pm Lunchwiththeresidents
12:30pm Groupinterviewwithpreceptors
2:303:00pm Wrapupwithprogramdirector
5:30pm Dinneratarestaurantwithresidents/preceptors/otherinterview
candidates
Example2
99:30am WelcomeandReviewofApplicationMaterials
9:3010am InterviewwithProgramDirector
1011am InterviewSessionGroup#1ofPreceptorsandstaff(36)
11am12:30pm CandidatePresentationwithQuestion&AnswerSession
12:301:30pm LunchwithResidentsandotherResidencyApplicants
1:302:30pm TouroffacilitywithCurrentPharmacyResident(s)
2:303pm BreakandChatwithPreceptors
34pm InterviewSessionGroup#2ofPreceptorsandstaff(36)
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4244:30pm WrapUpDiscussionwithProgramDirector
Example3(Multisiteprogram)
8:309am InterviewwithResidencyProgramDirector
99:30am TourofFacility#1
9:3010am RoundingwithPreceptoratFacility#1
1011am InterviewPanelwithDirectorofPharmacy,OperationsManager&
ClinicalStaffatFacility#1
1111:30am PresentationtopharmacystaffatFacility#1
11:30am12:30pm LunchwithResident(s)
12:301pm TraveltoFacility#2
11:30pm InterviewwithResidencyCoordinatoratFacility#2
1:302pm TourofFacility#2
23pm InterviewPanelwithPreceptorsatFacility#2
33:30pm PresentationtoPharmacyPreceptorsandStaffatFacility#2
3:304:00 FollowupwithResidencyProgramDirector&Coordinator
Example4
88:30am WelcomeandProgramOverviewwithResidencyDirector
8:309:15am InterviewwithPharmacyAdministrativeDirector
9:1510am CaseEvaluation(TimeforResidenttoPrepareforPresentation)
1011am Interviewwith36PreceptorsGroup#1
11:15am12pm CandidatePresentationtoPharmacyPreceptorsandStaff
121pm LunchwithResident(s)
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4312pm Interviewwith36PreceptorsGroup#2
23pm TourofFacility
34pm InterviewwithResident(s)inResidentsOffice
44:30pm WrapupwithResidencyDirector
Example5
1010:40am WelcomeandResidencyProgramOverviewwithResidencyProgram
Director
10:4011:40am TouroftheHospitalandIntroductionwithChiefPharmacyOfficer,
ChiefofMedicalStaff
11:40am12:20pm LunchwithResidents
12:201pm InterviewsStations15forCandidates(SeeBelow)
11:40pm InterviewsStations15forCandidates
1:402pm Break
22:40pm InterviewsStations15forCandidates
2:403:20pm InterviewsStations15forCandidates
3:204pm InterviewsStations15forCandidates
44:45pm WrapupwithCurrentPharmacyResidents
4:455pm WrapupwithResidencyProgramDirector
Station1InterviewwithPreceptors
Station2InterviewwithResidencyProgramDirectorandResidencyProgramCoordinator
Station3Interviewwithcurrentresidents
Station4Programreview
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44Station5Computeroverview
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