AdPha Training Programs – Resident Training Program Approval Step 1 of 2 50% Resident Training Program Approval establishes the program specific requirements for an AdPha accredited Training Program Site to deliver a Resident Training Program. This stage of accreditation determines whether a Site’s program is suitable based on its compliance with program-specific attributes and requirements. The AdPha Accreditation Standards for Hospital Training Programs 2024 provide detail of the standards which underpin the Resident Training Program and should be referred to when completing this application. Your responses and documents submitted as part of this application will be what AdPha use to consider your site(s) suitability to run an AdPha Resident Training Program. The application is comprehensive and requires a number of documents to be uploaded. A preview of the questions is available in the Accreditation Toolkit (p.10-11) By completing this application, you consent to: the information provided in the application being used to consider your Program Approval for a Resident Training Programyour site being listed and named by AdPha as an applicant or approved site in AdPha communications, which may appear in both online and offline media. Details of person completing the formBy completing this application, you acknowledge that you have the authority of the Director of Pharmacy of the Training Program site to submit this application. The Director of Pharmacy may be contacted to confirm this authority.First name:(Required) Last name:(Required) Preferred title:DrProfessorMrMsMrsNoneWorkplace (name of hospital/health service):(Required) Phone:Email address:(Required) Position: Are you an AdPha member?:(Required) Yes No Member number:(Required) Director of PharmacyDirector of Pharmacy:(Required) Title:DrProfessorMrMrsMsMissEmail Resident Training Program InformationWhen do you expect to commence your Resident Training Program (month, year)? How many Resident candidates do you expect to commence in your Resident Training Program? Provide a copy of the Resident Training Manual for your training site (2.4. 3.2):Accepted file types: pdf, doc, docx, Max. file size: 5 MB.How do you plan to appoint Resident candidates to your program? (3.1)Provide a Resident candidate position description (1.5, 3.1, 3.2):Accepted file types: pdf, doc, docx, Max. file size: 5 MB.Provide proposed reporting lines for the Resident candidates (1.5, 2.2):Program LeadThe Resident Training Program should have a defined Program Lead. The Program Lead is a senior pharmacist with demonstrable experience in clinical pharmacy and clinical education who is responsible for the organisation and delivery of the Resident Training Program. The Program Leader must be able to demonstrate core skills in supervision, teaching and mentoring of foundation level staff, as well as a high level of clinical pharmacy expertise.What is the name of your Resident Training Program Lead? (2.1, 2.2) Upload their curriculum vitae (2.1, 2.2):Accepted file types: pdf, doc, docx, Max. file size: 5 MB.Curriculum and staffAdPha requires Training Programs to ensure Resident candidates spend six months in a medical rotation (for example, across general medicine, cardiology, respiratory, infectious diseases, etc.), six months in a surgical rotation (for example, across general surgery, cardiothoracic surgery, breast and gynaecological surgery, colorectal surgery, orthopaedic surgery, etc.), six months in an operational role (for example across inpatient/discharge and outpatient dispensary, clinical trials, manufacturing, medicines information, etc.) and one elective rotation.Provide details of the practice areas that will be used as the medical, surgical , breadth and operational rotations to meet the program approval requirements (1.1):Upload any planned timetable/provisional program for these rotations (1.1). How will these 6-month rotations align with your sites regular pharmacist rotations?Accepted file types: pdf, doc, docx, Max. file size: 5 MB.Will Resident candidates at your site be required to undergo a rotation elsewhere (i.e. Rotation site)? (1.2, 1.3)The breadth of Resident candidate experiences may be offered at a one or more Rotation Sites in addition to the primary Resident Training Program Site. A ‘Rotation Site’ is a site, other than the primary site, at which part of the Resident Training Program is undertaken. Yes No If Yes, please provide details of the location, rotation type and period of time that the Resident candidate(s) will spend at the Rotation site (1.2, 1.3):Provide the learning objectives for the different rotations (4.3): Drop files here or Select files Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 15 MB, Max. files: 5. Provide details of the pharmacists who will be preceptors for each rotation (1.3, 2.3)Either names of individuals and brief bios/CVs (single document) or position descriptions Drop files here or Select files Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 15 MB, Max. files: 5. Provide details of the trained ClinCAT evaluators who will be provide ClinCATs for the Resident candidate(s) in each rotation? (4.1)The ANZCAP platform contains electronic templates for the Mini-CEX, Direct Observation of Practice (DOPs), Case-based discussion (CBD), reflection report, ClinCAT, Mini-PAT and other assessments included in the Resident Training Program curriculum. Please confirm if you intend to use the ANZCAP Learning Experiences or develop your own local assessment tools to support these assessments (4.2):If you intend to use local assessment templates then please provide examples of these: Drop files here or Select files Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 15 MB, Max. files: 5. Describe how you will preserve the overall Resident Training Program experience in times of staff shortages? (1.4)Professional DevelopmentDescribe who will provide orientation to new Resident candidate(s) (2.2, 5.1):Describe how your Training site supports participation in Resident Training Program specific professional development activities for your Resident candidates? (5.2)AcknowledgementI acknowledge that the Resident Training Program Site will deliver a program in accordance with AdPha’s requirements as outlined in the AdPha Resident Training Program Framework 2024:(Required)AdPha Resident Training Program Framework 2024 Yes EmailThis field is for validation purposes and should be left unchanged.
