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Frequently Asked Questions

How many residency positions will you be matching? 

We currently have two residency positions for our ASHP-accredited PGY 1 residency. The residency begins in mid to late June (same date as the medical residents) and ends one year later. 

When are applications due?  What is required for application? 

Applications are due by Jan. 10. You will need to submit curriculum vitae, letter of intent, transcripts and three references. Applications should be submitted through the online system PhORCAS.  

How are the residents selected? 

Completed applications are reviewed by a team of preceptors who will select a number of potential candidates to be invited for a half-day, virtual interview in late January or February. The interview includes a required 10-minute presentation. The selection criteria include the residents’ interest area, experience and fit with the Samaritan mission. As an ASHP-accredited program, participation in the Resident Matching Program is mandatory.

Is there a preference for in-state or out-of-state pharmacy school graduates?

There is no preference for in-state or out-of-state graduates. Each applicant is treated equally and is reviewed using the same criteria.

What rotations are required to complete your program?

Ambulatory care pharmacist-managed clinics and experiences: 

  • Anticoagulation: Samaritan operates eight clinics within primary care physician practices, averaging over 3,500 patient encounters per month. The clinic utilizes a collaborative practice agreement protocol. Pharmacists manage warfarin, low molecular weight heparin and DOACs, as well as peri-operative bridging decisions. 
  • Diabetes education: This is a required longitudinal experience. The resident pharmacist manages the pharmaceutical needs of patients with diabetes, hypertension, hyperlipidemia, and other chronic diseases. 

Acute care/hospitalist service - Good Samaritan Regional Medical Center, Corvallis: 
This rotation encompasses acute inpatient care, which entails rounding with the hospitalist service, as well as DUE, MUE and P&T activities. 

Acute care internal medicine—rural rotation at Samaritan Lebanon Community Hospital: 

The pharmacy resident will work in the role of the clinical pharmacist involved in order verification, clinical monitoring, addressing and intervening on drug related problems, and medication reconciliation for an acute care unit, critical care unit, birth center, operating room, endoscopy suite, emergency room and infusion center.

ICU: 
This rotation encompasses critical care with a cardiology and cardiovascular surgery focus.

Infectious Disease: 
Residents work directly with the infectious disease physicians to experience complex patients in an acute care setting where ID has been consulted for recommendations on antimicrobial management. They work with other pharmacists and help with the antimicrobial stewardship program. They also work in the outpatient clinic seeing Hep C, HIV, and antimicrobial follow up patients while working with the ID specialty pharmacist. 

Management: 
Residents work with various managers to learn about operations management, human resources management, department strategy, compliance, policy and procedure writing, pharmacy forecast and the roles of the pharmacy executive. A project related to management is also assigned during this rotation.

What elective rotations are available?

Ambulatory Care Elective:  

  • Erythropoiesis Stimulating Agents (ESA) clinics: The ESA component of the clinic serves mostly patients with chronic kidney disease and myelodysplasia. All the ambulatory clinics offer this service.
  • Pulmonary Wellness: Diseases managed include COPD, asthma and smoking cessation.
  • Hospice reviews.

Oncology: 

  • Acute care/inpatient service
  • Oral chemotherapy service (ambulatory clinic)

Oregon State University teaching rotation and teaching certificate 

Mental health: Acute care/inpatient service

Health Plan: Work with the pharmacist at Samaritan Health Plan (Advantage, IHN, Samaritan Choice Plan)

Planned electives we are hoping to develop:

  • Transitions of Care
  • Informatics 
  • Research

How are residents evaluated?

Samaritan follows the ASHP Learning Pyramid model of training.

  • Direct Instruction: Reading assignments and direct teaching.
  • Modeling: Preceptor shows the resident what needs to be done. This includes observing the preceptor in his/her daily activities on the floor or in the clinic.
  • Coaching: Resident does the work of the preceptor (clinic, on the floor, on rounds, in meetings etc.) and the preceptor observes and provides feedback.
  • Facilitating: Resident practices independently in the same capacity as the preceptor. The preceptor provides feedback and the resident reflects on his or her own performance.

The resident becomes an extender of the preceptor, which means the resident can function in the same capacity on his or her own.

We use the Pharm Academic evaluation system: 

  • This usually involves a snapshot evaluation or two during the rotation, and a summative evaluation at the end of the rotation 
  • Longitudinal rotations are evaluated quarterly
  • Daily verbal feedback will occur on rotation
  • The resident will provide feedback about the rotation and the preceptor 

What teaching opportunities are there for residents?  

Residents will have the option of precepting pharmacy students who are scheduled on rotation with them. On patient care rotations, residents give an oral presentation to their fellow pharmacy staff members on a clinical topic. These presentations fall into the categories of journal club, topic discussion and case presentation. Residents can receive a teaching certificate through the Oregon Residency Teaching Program and will have the opportunity to complete a teaching rotation through OSU. One “Prescription Pearls” newsletter which is sent out to all system staff is required.

What is the staffing requirement and how are residents trained to prepare for staffing? 

Staffing begins when residents are licensed, which is usually in September. Residents have a two-out-of-three weekends staffing responsibility. One weekend will be spent staffing at the inpatient pharmacy in various clinical and centralized pharmacy roles. Residents get the Monday after inpatient staffing off as a “comp day”. The second weekend will entail staffing the anticoagulation clinic in Saturday from 9-noon. INRs are checked via point-of-care testing, and residents will manage anticoagulation via a collaborative practice agreement. Residents are involved in transition of care activities for anticoagulation patients when staffing weekends.

  • Training for the anticoagulation staffing occurs during the required anticoagulation rotation. 
  • Training for inpatient staffing occurs during a dedicated 5-week training block.

Do residents have to do a research project? 

Yes, each resident is required to conduct a research project to complete the requirements of the residency. Preceptors present viable project ideas in August and a general timeline for successful project completion is in place. Residents will have a dedicated preceptor to mentor them during their project. Study results will be presented at the Northwest Pharmacy Residency Conference and publication is encouraged.

What kind of projects have your residents done in the past? 

Residents have helped improve the quality and care we provide.  

Examples include:
Starting new clinical services and prospectively evaluating the impact:

  • ESA clinic for chronic kidney disease and myelodysplasia patients 
  • Infectious Disease Stewardship program
  • Pharmacist-managed insulin program in acute care setting 
  • Implementing a collaborative practice agreement for COPD, asthma and smoking cessation
  • Implementing a medication concierge service  
  • Improving discharge medication reconciliation  
  • Starting an oral chemo program 
  • Expanding the pulmonary wellness clinic with a focus on COPD to reduce readmissions
  • Implementing pharmacist home visits in the ambulatory care setting
  • Implementation of a penicillin allergy testing protocol  
  • Implementing a heart failure program in a medical home 
  • Impact of a pharmacist in the medical home on patients with 20 or more medications
  • Implementing a protocol to allow pharmacists to switch type 2 diabetics to human insulin based on Luo J et al (JAMA 2019; 321 [4]: 374-84).

Conducting review or improvement of existing services

  • Assessing the clinical impact of pharmacy residents staffing the diabetes education clinic
  • Optimal duration of prophylactic antibiotics after cardiovascular surgery
  • Optimizing glucose control in the ICU
  • Review of conscious sedation practices in the ICU
  • Assessing the cost effectiveness of oral versus IV chemotherapy
  • Assessing DVT prophylaxis in the inpatient service 
  • Assessing the rate of opioid de-escalation, follow up, and naloxone prescribing in patients with non-fatal overdoses at Samaritan Health Services
  • Assessing the current use of DOACs in our health system in patients with a BMI over 40 kg/m2.

Prospective randomized trials

  • Joss JD, Hernan J, Collier R et al.  Perioperative supplementation of polyunsaturated omega-3 fatty acid for the prevention of atrial fibrillation after cardiothoracic surgery Am J Health Syst Pharm 2017; 74: e17-23.
  • Leonard SW, Joss JD, Mustacich JD et al. Effect of Vitamin E on Cholesterol levels of hypercholesterolemic patients receiving statins.  Am J Health Syst Pharm 2007; 64: 2257-66
  • Once versus twice daily dosing of dalteparin in obese patients
  • Effect of Vitamin D repletion on chronic fatigue

What are the current residents investigating for their projects?

In 2020-2021, our resident is developing pre-certification and denials management for the system for high-cost infusions. The other resident is developing and implementing a collaborative practice protocol for hypertension.

Do residents receive vacation time? 

Residents have 20 days of paid time off (PTO). PTO is used to cover holidays, vacation and sick leave. Residents receive paid time off for the ASHP midyear meeting and the Northwest Residency Conferences without having to use PTO. Vacation time must be approved by the residency program director.

Do the residents attend any professional meetings throughout the year? 

The residents participate in the Portland/Vancouver area Citywide residency conference, which provides an opportunity to interact with pharmacy residents from other regional residency programs.  Residents also attend the ASHP midyear clinical meeting and Northwest Residency Conference with SHS preceptors.

Is office space available to residents? 

Yes. Residents are provided with an office work space equipped with PCs and printers. A laptop is available for inpatient rotations. Residents are also able to access work files and email remotely.

What is the anticipated residency stipend? 

The current stipend for PGY-1 residents is $51,480 for the year. 

Do residents receive health insurance?

Yes, insurance premiums may be paid on a pre-tax basis. This comprehensive benefit program offers medical, pharmacy, dental, vision and employee wellness.

What is your licensure policy for PGY-1 residents?

Resident must obtain and maintain the appropriate license to practice pharmacy in the state of Oregon within the first four months of the program as required by ASHP standards.  A valid Oregon intern license must be presented on the first day of residency. Resident shall not be permitted to begin the program under any circumstances without a valid intern or pharmacist license on the first day.

After completing residency, what positions do your residents pursue?

Our residents have gone on to pursue clinical specialist positions in direct patient care or PGY-2 residencies. 

Further questions?

Contact Jacqueline Joss, Pharm.D.
RPD PGY 1 Residency
Good Samaritan Regional Medical Center