Site Stats
Host Site: Combined PGY1 Residency & Practice Advancement Fellowship
Program Length: 1 year PGY1 + 1 year fellowship
No. of Positions: 2 per year
NMS Match Code: 111226
Coordinating and Leadership Preceptor: Todd D. Sorensen, PharmD
E-mail: [email protected]
Resident: Meet the current residents
Purpose
This residency and fellowship prepares pharmacists to be leaders in the practice of pharmaceutical care. As the profession evolves, there is a growing need to advance pharmacy practice and demonstrate the value of a pharmacist on healthcare teams. Our goal is to prime residents and fellows with the knowledge and skills necessary to lead change in ambulatory settings, paving the way for new opportunities and inspiring the next generation of pharmacists.
Design
Unique in its design, the Combined PGY1 Residency & Practice Advancement Fellowship provides a set of experiences over two years focused on growing leadership skills in practice development, establishing personal influence, advocacy in the profession, and teaching.
Year 1: Residency Year includes clinical practice at one of two University-affiliated clinics: Broadway Family Medicine Clinic or M Health Fairview Clinic - Smileys. Significant time is devoted to teaching (both didactic and experiential) responsibilities. Residents also complete the Collaborative Residency Teaching Program.
Year 2: Fellowship Year encompasses learning experiences in practice advancement, teaching, and care delivery. The fellow contributes to projects and activities advancing pharmacy practice and engaging in professional advocacy and legislative priorities. Building on the first year, the fellow explores evidence-based teaching trends in the health sciences and designs active learning strategies for students. Clinical growth continues through independent practice in a new ambulatory setting, with focus on practice management and quality improvement. General leadership development activities occur throughout, including serving as co-leads for the entire University of Minnesota PGY-1 Pharmacy Residency Program.
The Combined PGY1 Residency & Practice Advancement Fellowship offers two residency positions annually.
Year 1 Sites
The University of Minnesota provides clinical sites for five family medicine residency training sites in the metro area, including Broadway Family Medicine and M Health Fairview Clinic - Smiley's. Across these programs, we have seven clinical pharmacy faculty, three pharmacy residents, and several pharmacy students. The table of site characteristics provides descriptions of each site. Site selection is decided following ASHP Match results.
Year 2 Sites
Second-year fellows experience an independent clinical practice at a different site and lead all aspects of practice management, including relationship building with team members, maintaining referral and care management systems, measuring impact, and quality improvement.
Clinical Practice and Practice Management
PGY1 residents & practice advancement fellowship provide comprehensive medication management (CMM). CMM is a systematic approach wherein the pharmacist individually and collectively assesses all medications to determine that each one is appropriate for the patient, effective for the medical condition, safe given the comorbidities and any concurrent medications, and able to be taken as intended. The resident/fellow takes responsibility for the patient’s drug related needs, develops therapeutic plans, orders laboratory tests, and uses prescriptive authorities to initiate, modify, or discontinue drug treatment.
Residents/fellows work collaboratively with the interprofessional healthcare team, which may include and is not limited to physicians, nurse practitioners, physician residents, care coordinators, behavioral health professionals, nurses, front desk staff, social workers, dieticians, and interpreters.
Residents/fellows will apply important practice management and leadership skills through quality improvement work, creating a business plan, and and developing a collaborative clinical practice. Change leadership is developed through topic discussions, one-on-one mentorship, and the Year 2 clinical practice site.
Leadership Development
The residency and fellowship addresses leadership development across four domains:
- Personal Development: Assigned readings, preceptor-facilitated discussions, and other learning activities allow exploration of qualities and skills consistent with those exhibited by effective leaders.
- Practice Advancement: The fellowship is designed so that fellows gain experience taking significant responsibility for practice development in a location where pharmaceutical care practice has not been well-established.
- Teaching/Mentoring: Residents/fellows are heavily involved in didactic teaching (primarily in the College of Pharmacy's practical skills lab), in which they not only assist in the delivery of educational material but work closely with faculty to design and implement student learning activities, as well as experiential teaching in their clinical practice environment.
- Professional Advocacy: The program offers an environment for residents/fellows to increase awareness and actively debate strategies for resolving issues facing the pharmacy profession. They participate in professional association policy-making activities and the legislative process during a longitudinal rotation with Sarah Westberg, Associate Dean for Professional Affairs, who is closely linked to Minnesota Pharmacists Association (MPhA) and Minnesota Pharmacy Alliance (MPA).
There is tremendous opportunity for residents/fellows to explore personal career interests, which are developed collaboratively with 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.
FAQ: What is the difference between a two-year health system administration residency and the Combined PGY1 Residency & Practice Advancement Fellowship?
The Combined PGY1 Residency & Practice Advancement Fellowship experience is quite different from a two-year health system residency both in focus and design. Most notably:
The Practice Transformation Residency and Fellowship is focused on clinical pharmacy delivery in ambulatory care clinics; it does not include an inpatient program management focus.
Practice management learning experiences immerse residents/fellows in the development and management of a CMM practice in primary care settings.
Through understanding principles of change management and national trends influencing both clinical pharmacy services and primary care medical services, leadership development experiences focus on the skills required to initiate and sustain clinical services in an ambulatory setting.
Site Coordinators
Broadway Family Medicine Clinic: Jody Lounsbery, PharmD, BCPS has been practicing and precepting leadership residents at Broadway since 2008. Dr. Lounsbery received her Doctor of Pharmacy degree from the University of Minnesota. She is a professor in both 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 as well as faculty for the North Memorial Family Medicine Residency Program. She is also an associate program director for the residency program. Dr. Lounsbery completed a PGY1 Residency at Ohio State University College of Pharmacy and a PGY2 Ambulatory Care Residency at the University of Maryland School of Pharmacy. She enjoys reading, baking, doing puzzles, and spending time with her family outdoors.
M Health Fairview Clinic - Smileys: Kristyn Williamson, PharmD, BCACP has been practicing and precepting at Smiley’s since 2020. Dr. Williamson received her Doctor of Pharmacy degree from the University of Minnesota in 2015. Outside of the clinic, she is a lecturer in the Pharmacy Learning Collaborative 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. Williamson completed a PGY-1 Community Pharmacy residency at Virginia Commonwealth University School of Pharmacy. She enjoys reading, baking, and home improvement projects.
Leadership, Advocacy and Practice Development: Todd Sorensen, PharmD, FAPhA, FCCP is a professor in the Department of Pharmaceutical Care and Health Systems and Senior Executive Associate Dean for Strategic Initiatives and Faculty Affairs for the College of Pharmacy. Dr. Sorensen served as the founding program director for the college’s PGY1 residency program for 14 years and as a preceptor and mentor to nearly 40 individuals completing the Practice Transformation track. In 2015, he was honored with the Gloria Niemeyer Francke Leadership Mentor Award from APhA in recognition of his commitment to the mentorship of students, residents and early career faculty. His research and service activities focus on working with health care organizations to improve health outcomes associated with chronic illness, specifically identifying leadership strategies that allow organizations to integrate and sustain medication management services delivered by pharmacists within interprofessional teams. Dr. Sorensen enjoys traveling with his family and playing golf as much as his work schedule and Minnesota weather allow.
Preceptors
Broadway Family Medicine Clinic: Jean Moon, PharmD, FCCP, BCACP is a 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 2005 graduate of the PGY-1 Residency Program Pharmaceutical Care Leadership Emphasis track, during which she established the pharmacy practice at Broadway. She has been precepting leadership emphasis residents since 2006. Her clinical interests are in pulmonary medicine and women’s health and her scholarship interests include experiential education assessment and peer review. She enjoys reading sci-fi novels, watching movies, singing karaoke, and hanging out with her family at the lake.
M Health Fairview Clinic - 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 before completing a PGY1 general practice residency at Mayo Medical Center in Rochester, MN, and a PGY2 in ambulatory care at the University of Washington in Seattle, WA. Dr. Pereira has been precepting leadership emphasis residents at Smiley’s since 2006. He enjoys bicycling, soccer and flyfishing, but rarely does these at the same time.