SHPA Residency Program – Foundation Residency Program Approval

Step 1 of 2

Foundation Residency Program Approval establishes the program specific requirements for an SHPA accredited Residency Site to deliver a residency pathway. This stage of accreditation determines whether a Residency Site’s program is suitable based on its compliance with program-specific attributes and requirements.

The SHPA accreditation standards for pharmacy Residency Programs 2020 provide detail of the standards which underpin the Residency program and should be referred to when completing this application.

Your responses and documents submitted as part of this application will be what SHPA use consider your site(s) suitability to run an SHPA Residency Program. The application is comprehensive and requires a number of documents to be uploaded. You may request a list of questions from residency@shpa.org.au

By completing this application, you consent to:

the information provided in the application being used to consider your Program Approval for Foundation Residency
your site being listed and named by the SHPA as an applicant or approved site in SHPA communications, which may appear in both online and offline media.

Details of person completing the form

By completing this application, you acknowledge that you have the authority of the Director of Pharmacy of the Residency 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:

Workplace (name of hospital/health service):(Required)

Phone:

Email address:(Required)

Position:

Are you an SHPA member?:(Required)

Yes

Member number:(Required)

Director of Pharmacy

Director of Pharmacy:(Required)

Title:

Foundation Residency Program Information

How many Residents do you expect to commence in your Foundation Residency Program?

When do you expect them to commence (month, year)?

How do you plan to appoint Residents to your program?

Upload draft Resident position description (1.4, 3.1):

Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

Upload your departmental organisational structure including proposed reporting lines for Residents:

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 5 MB.

Describe how you will preserve the overall residency experience in times of staff shortages? (1.5):

Staff

The Residency Program should have a defined Program Leader. The Residency Program Leader is a senior pharmacist with demonstrable experience in clinical pharmacy and clinical education who is responsible for the organisation and delivery of the Residency 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 Residency Program Leader? (2.1)

Upload their curriculum vitae (2.1, 2.2):

Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

Upload rotation description including preceptor names and brief bios/CVs (single document) (1.3, 2.4, 2.5):

Consider the likely structure of your residency rotations and associated preceptors. List these rotations, provide a brief description of the rotation and name the preceptors who will supervise the resident for these rotations. Include a brief bio of each preceptor that outlines the clinical and supervisory experience of the preceptors.

Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

Provide information on the staffing structure for clinical pharmacy services (1.4):

Outline A) total number of beds per category and B) FTE clinical pharmacists allocated to each category:

Category 1. Specialist Units (e.g. haematology, medical oncology, renal medicine)
Category 2. Medical bed type (e.g. general medical units, gastroenterology, respiratory medicine)
Category 3. Surgical bed type (e.g. general surgical units, breast surgery, cardiothoracic surgery)
Category 4. Palliative care
Category 5. Minimal changes to medicines anticipated (e.g. ENT, obstetrics, gynaecology)
Category 6. Longer stay admissions (e.g. Drug & Alcohol, Non-acute geriatric)

Additional Rotation Sites

The breadth of Resident experiences may be offered at a one or more Rotation Sites in addition to the primary Residency Site. A ‘Rotation Site’ is a site, other than the Residency Site, at which part of the Residency Program is undertaken.

Will residents at your site be required to undergo a rotation elsewhere? (1.2)

Yes

If Yes, what pharmacy practice will residents be engaged in when away from the home site, and for what time?

Provide the learning objectives for this rotation:

How will they align with the home program rotations? (2.3)

Upload any planned timetable/provisional program that demonstrates the rotation site linkages with the home program (1.3):

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 5 MB.

Curriculum

SHPA requires Residency Programs to ensure Residents 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 how you propose to structure your clinical and operational rotations to meet the accreditation requirements (1.1):

Upload any planned timetable/provisional program (3.2):

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 5 MB.

Upload your residency orientation manual (4.1):

Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

Upload your rotation(s) learning objectives (5.2):

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 5 MB.

Professional Development

Is your program able to facilitate participation in Residency specific professional development activities for your Residents and Residency Program Leaders? (4.2)

Yes

Is your program able to provide a ClinCAT evaluation for each Resident’s rotation? (5.1)

Yes

Acknowledgement

I acknowledge that the Residency Site will deliver a program in accordance with SHPA’s requirements as outlined in the SHPA Residency Program Rules and the Evaluation and Assessment Matrix:(Required)

SHPA Residency Program Rules
Evaluation and Assessment Matrix

Yes

Name

This field is for validation purposes and should be left unchanged.