Pharmaceutical Care Leadership Emphasis

Host Site: Pharmacuetical Care Leadership
Program Length: 2 years
No. of Positions: 2 per year
NMS Match Code: 111226
Coordinating and Leadership Preceptor: Todd D. Sorensen, PharmD
E-mail: soren042@umn.edu

Program Profile

Residents at this site will be providing comprehensive medication management (CMM). CMM is defined as the standard of care that ensures each patient’s medications (whether they are prescription, non-prescription, alternative, traditional, vitamins, or nutritional supplements) are individually assessed to determine that each medication is appropriate for the patient, effective for the medical condition, safe given the comorbidities and other medications being taken, and able to be taken by the patient as intended. The pharmacist takes responsibility for the patient’s drug related needs and is held accountable to this commitment. The provision of this service to patients is the primary patient care learning environment for this residency.

The resident will work collaboratively with the interprofessional healthcare team at this site, including: physicians, nurse practitioners, physician residents, care coordinators, behavioral health, nurses, front desk staff, and interpreters.

Practice management is an integral part of the pharmacy profession. There are various opportunities to strengthen practice management skills throughout year 1 and prepare for year 2. The resident will be able to gain an understanding of the importance of practice management and will strengthen leadership skills by participating in these activities.

Site Profiles

University of Minnesota Physicians (UMP) is a multi-specialty group practice for the University of Minnesota Medical School faculty. UMP provides primary care and over 100 specialty and subspecialty areas. UMP focuses on improving the lives of our patients with collaborative care, breakthrough research and by training tomorrow’s physicians. In that endeavor, UMP provides clinical sites for four family medicine residency training sites in the metro area, including Broadway Family Medicine and Smiley’s Family Medicine. Across these family medicine programs, we have six clinical pharmacy faculty, three pharmacy residents, and pharmacy students.  

https://www.umphysicians.org/ 

Broadway Family Medicine is affiliated with North Memorial Medical Center and is a residency training site for the University of Minnesota Department of Family Medicine and Community Health. Learners will work with an urban (North Minneapolis), underserved patient population. Approximately thirty percent of patients are non-English speaking (e.g. Hmong), followed by Black or African American, and Caucasian patients. Learners will focus on learning to comprehensively manage chronic conditions such as asthma, cholesterol, COPD, CHF, depression, diabetes, hypertension, and pain. In addition, learners will help patients quit smoking, provide spirometry services, and treat latent-tuberculosis. 

Smiley’s Family Medicine is affiliated with University of Minnesota Medical Center. Learners will work with an urban underserved patient population in South Minneapolis. Approximately 50 percent of patients are non-English speaking (e.g. Somali). Learners will focus on learning to manage chronic conditions such as  anticoagulation, asthma, cholesterol, diabetes, hypertension and pain, and. In addition, learners will help patients quit smoking and treat latent-tuberculosis. Residents participate in the interprofessional team care meetings, quality improvement teamlets, and patient priority team meetings.  

Site Coordinators 

Broadway: Jody Lounsbery, PharmD, BCPS has been practicing and precepting leadership emphasis residents at Broadway Family Medicine since 2008. Dr. Lounsbery is an Associate Professor in the Department of Pharmaceutical Care & Health Systems in the College of Pharmacy and in the Department of Family Medicine and Community Health in the Medical School at the University Of Minnesota. Dr. Lounsbery is faculty for the University of Minnesota North Memorial Family Medicine Residency Program. Dr. Lounsbery received her Doctor of Pharmacy degree from the University Of Minnesota College of Pharmacy. Dr. Lounsbery completed a PGY1 Residency at The Ohio State University College of Pharmacy and completed a PGY2 Ambulatory Care Residency at the University of Maryland School of Pharmacy. Dr. Lounsbery is also an Assistant Program Director for the Residency Program. 

Smiley’s: Chrystian Pereira, PharmD, BCPS established the pharmacy practice service at Smiley’s Family Medicine in 2004. Dr. Pereira is an Assistant Professor in the Department of Pharmaceutical Care & Health Systems in the College of Pharmacy and in the Department of Family Medicine and Community Health in the Medical School at the University of Minnesota. He received his Doctor of Pharmacy degree from the University of Minnesota in 2001 and completed a PGY1 general practice residency at Mayo Medical Center in Rochester, MN. He continued to complete a PGY2 in Ambulatory Care at the University of Washington in Seattle, WA. Dr. Pereira has been precepting leadership emphasis residents at Smiley’s Clinic since 2006.

Preceptor: 

Broadway: Jean Moon, PharmD, BCACP is an Associate Professor in the Department of Pharmaceutical Care & Health Systems in the College of Pharmacy and in the Department of Family Medicine and Community Health in the Medical School at the University of Minnesota. Dr. Moon received her Doctor of Pharmacy degree from the University of Minnesota in 2003 and is a graduate of the PGY-1 Residency Program - Pharmaceutical Care Leadership Emphasis in 2005 where she established the pharmacy practice at Broadway Family Medicine. Dr. Moon has been precepting leadership emphasis residents since 2006 and is also the Program Director for the Residency Program.  

Leadership Emphasis

This residency experience was designed as a result of a recognized need for leadership in the practice of pharmaceutical care. As the profession evolves, it is in need of individuals who can provide leadership in the following areas: the direct delivery of pharmaceutical care to patients, development of pharmaceutical care practices, development of reimbursement models for pharmaceutical care, practice-based research in pharmaceutical care, and the provision of effective education of the principles of pharmaceutical care to pharmacy students and practitioners. This residency experience was developed to expedite and formalize the acquisition of characteristics required to engage in leadership roles with respect to pharmaceutical care practice.

The program offers two residency positions annually. All activities are coordinated through the College of Pharmacy. The first year of the residency includes clinical practice at one of the two University affiliated Clinics: Smiley's Family Medicine and the Broadway Family Medicine. Significant time is also devoted to teaching (both didactic and experiential) responsibilities. During the second year of the residency, residents move to a new clinical practice site where they take responsibility for practice development in a setting where pharmaceutical care practice is not well established. Teaching responsibilities continue during this year and other elective experiences are also completed. General leadership development activities occur throughout both years of the program.

There is tremendous opportunity for residents to explore personal interests falling within the overall purpose of the program. These experiences are developed collaboratively between residents and program preceptors and may include (but are not limited to) activities related to payer reimbursement, political advocacy, professional association activities, writing for publication, etc.
A full description of the philosophy and structure of this residency experience is available via the following citation: Pharmaceutical Care Leadership: An Innovative Residency Model. J Am Pharm Assoc. 2003;43:527-32. Download a PDF

A follow up evaluation of the impact of the program over its first 15 years of operation has been published in INNOVATIONS in pharmacy.

Leadership Development

The residency addresses leadership development within 4 domains:

  • Personal development: Assigned readings, preceptor-facilitate discussions and other learning activities allow residents to explore the qualities and skills consistent with those exhibited by effective leaders.
  • Practice Advancement: The residency is designed so that residents gain experience taking significant responsibility for practice development in a location where pharmaceutical care practice has not been well-established.
  • Teaching/Mentoring: Residents take responsibility for both didactic teaching (primarily in the College of Pharmacy's Pharmaceutical Care Learning Center) as well as experiential teaching in their clinical practice environment. With respect to didactic teaching, residents not only assist in the delivery of educational material, but work closely with faculty to design and implement student learning activities.
  • Professional Advocacy: The program offers an environment for residents to increase awareness of issues facing pharmacy and actively debate strategies for resolving these issues. Residents participate in professional association policy-making activities and gain awareness of professional association activities and the legislative process during a rotation with the Minnesota Pharmacists Association.