The Providence Health Plan (PHP) PGY1 Managed Care Residency is a comprehensive leadership development program designed to equip Doctor of Pharmacy (Pharm.D.) graduates with the skills and experience necessary for a successful career in managed care pharmacy. This program builds upon foundational knowledge, fostering expertise in evidence-based medicine, patient care, and leadership. Graduates are well-prepared for board certification and further postgraduate training (PGY2).
Cultivating Leaders in Managed Care Pharmacy
This residency emphasizes a systematic approach to training, focusing on achieving professional competence in various aspects of managed care pharmacy practice. The curriculum is meticulously crafted to provide residents with a robust understanding of population-based pharmaceutical care.
Core Curriculum Components: Building a Strong Foundation
The program focuses on developing crucial skills, including:
- Medication Use Management: Residents learn to design and implement initiatives and policies aimed at optimizing medication use.
- Medication Therapy Management (MTM): Hands-on experience conducting comprehensive and targeted medication reviews, providing patient-centered recommendations.
- Formulary Management: In-depth training on formulary development, drug utilization review, and cost-effective medication selection.
- Quality and Outcome Assessment: Residents learn to evaluate and improve healthcare quality using metrics like NCQA, CMS 5-Stars, and HEDIS.
- Drug Information: Expertise in providing accurate and timely drug information to healthcare professionals and patients.
- Leadership Development: Cultivating effective communication, teaching, and mentoring skills essential for leadership roles.
Program Objectives: Defining Success
Upon completion of the residency, graduates will be able to:
- Manage drug distribution processes for members.
- Design and implement clinical programs to improve patient care.
- Ensure medication-use system safety and quality.
- Provide medication-related education and training.
- Collaborate with stakeholders to design effective benefit structures.
- Demonstrate strong leadership and practice management skills.
- Execute successful project management.
Experiential Learning: A Rotational Approach to Mastery
The program incorporates a diverse range of required and elective rotations, providing hands-on experience in various managed care settings.
Required Rotations: Essential Building Blocks
Required rotations provide in-depth exposure to core areas:
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Orientation (3 weeks): Introduction to PHP and its systems.
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Formulary Exception Training (6 weeks): Prior authorization review and customer service triage.
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MTM (6 weeks): Conducting telephonic medication reviews.
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Pharmacy Benefits Administration (6 weeks): Managing pharmacy benefits, drug utilization, and formulary development.
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Clinical Quality Management (6 weeks): Working with quality metrics and improvement strategies.
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P&T Committee (6 weeks): Drug review and presentation to the committee.
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Ambulatory Care Practice (6 weeks): Experience in primary or geriatric care settings.
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Principles of Managed Care (Longitudinal): Ongoing discussions on managed care topics.
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Evidence-Based Medicine (Longitudinal): Drug information requests and educational sessions.
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Major Project (Longitudinal): Developing and implementing a significant project.
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Practice-Based Staffing (Longitudinal): Working in MTM or prior authorization review.
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Specialty Medication Services (6 Weeks): Managing high-cost specialty medications.
Elective Rotations: Tailoring the Experience
Elective rotations allow residents to further customize their learning:
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Pharmacy Client Account Management (4 weeks): Analyzing healthcare costs and utilization data.
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Health-System Administration (4 weeks): Understanding the interplay between health plan and health system components.
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Teaching Certificate Program (Longitudinal): Enhancing teaching skills.
Accreditation and Recognition
The PHP Managed Care PGY-1 Residency Program is jointly accredited by the American Society of Health System Pharmacists (ASHP) and the Academy of Managed Care Pharmacy (AMCP), signifying its commitment to excellence in managed care pharmacy education. This program provides a strong foundation for future leaders in the field.
