SITE ACCREDITATION APPLICATION EXAMPLE QUESTIONS

SITE ACCREDITATION

APPLICATION

EXAMPLE QUESTIONS

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SHPA RESIDENCY PROGRAM SITE ACCREDITATION

APPLICATION EXAMPLE QUESTIONS

INTRODUCTION

SHPA launched its Hospital Pharmacy Residency Program in 2017. The program is a structured, formalised,

supported and accredited national program for early career pharmacists and for those entering hospital

practice from a different pharmacy environment.

Our inaugural year saw 30 residency programs accredited against the SHPA Accreditation Standards for

pharmacy residency programs, with over a hundred residents participating across Australia. Residents

demonstrate their advancement through a portfolio of practice based experiential training. By setting a solid

foundation for the practitioner that starts with a generalised base, practitioners are better equipped to

progress to more focused and specialised practice.

Applications are now open for hospital pharmacy and health service sites to apply for accreditation to begin

their own residency program in 2018. Sites selected will be awarded initial provisional accreditation and can

achieve full accreditation following a subsequent site visit planned for end-2018 /early-2019.

This online process takes applicants through a series of selection criteria that are aligned with the SHPA

Accreditation Standards for pharmacy residency programs. The Accreditation Standards should be read in

conjunction with the SHPA Residency Program Key Principles and Competency Framework. These

resources are available via the SHPA Residency webpage.

+ Applications close at 5pm (AEST) on Wednesday, 1st November 2017.

+ Sites that are awarded provisional accreditation will be notified by Wednesday, 15th November

2017.

If you require assistance in completing your application or have any questions regarding the program, please

contact:

+ Andrew Matthews, General Manager, Workforce Transformation [email protected]

+ Sachin Ramnani, Project Officer, Workforce Transformation [email protected]

+ Ph: 02 6180 2805

Thank you for considering applying to become an SHPA accredited residency program site.

Professor Michael Dooley SHPA Federal President

mailto:[email protected]

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CONSENT

The data collected as part of this online application is used exclusively for the accreditation process

associated with the SHPA Residency Program. SHPA operates in accordance with the Australian Privacy

Principles. For more information about SHPA and our respect for your privacy, see our SHPA Privacy Policy:

+ Do you consent to SHPA using your application to consider your accreditation as an SHPA

Residency Program site?

+ 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.

+ By completing this application, you consent to 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.

BEFORE YOU BEGIN

Things to consider

You are completing an application for provisional accreditation as an SHPA residency program site.

Therefore, this application is comprehensive and requires responses to over 40 questions and the upload of

a number of documents.

For fields that require upload of files, clicking on the 'Choose Files' button will open up the file select box.

You can select multiple files to upload by holding down the 'Ctrl' key and selecting the files. If you encounter

difficulties whilst uploading multiple files, you can add your files to a zip archive and upload that as a single

file.

Questions that have a red asterisk next to them are required fields and must be responded to in order to

progress further.

On the SHPA Residency webpage, you can download a PDF containing all the questions that appear in this

form. A MS Word.doc is available on request. You can prepare your answers in advance with the help of

these documents if you wish.

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SITE PERSONNEL DETAILS

Primary contact

Your name (person completing this application and the main liaison between residency program site and

SHPA)

Title, Your Position / Title, Applicant Primary Phone Number, Applicant Primary Email, Are you an

SHPA member?

Director

Is the Director of Pharmacy filling out this form? *

Alternative Contact

Please nominate an alternative contact person for the residency program at your site, Alternative

Contact Name, Title, Alternative Contact Position, Alternative Phone Number, Alternative Email, Is

the alternative contact an SHPA member?

RESIDENCY SITE DETAILS

Regarding 'Home sites' and 'Rotation sites' * indicates a required field.

The ‘home site’ is the health service and its pharmacy department at which the resident will spend the

majority of time during the residency. The Home Site accepts responsibility for the overall structure,

curriculum and outcomes of the program. A ‘rotation site’ is a site, other than the home site, at which part of

the residency program is undertaken. The rotation site is required to have a defined preceptor, but is not

required to meet the overall standards.

Your hospital / residency home site name: *, Hospital / residency home site address *, Address,

Enter a location, Suburb, State, Postcode

Director of Pharmacy

Title, Director of Pharmacy Email

Will residents at your principal site be required to undergo a rotation to other sites? If yes, please list

site(s) (You may enter multiple site names separated by a comma)

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HOSPITAL RESIDENCY PROGRAM SITE

Program details

The SHPA Accreditation Standards for pharmacy residency programs expect that residents will be exposed

to a broad range of clinical and operational experiences in order for a resident to achieve the competence

expected within the residency competency framework at the designated performance level. The breadth of

experiences may be offered at a home site in addition to one or more rotation sites.

How many residents do you expect to commence at your residency program site in 2018?

Do you expect to commence all residents at the same time? If so, which month of 2018 do you expect

to commence your residency program? If not, please describe any plans for staggered

commencement of residents.

Hospital setting

Describe your hospital/residency setting. See examples below. Include information such as: number

of patient beds in your hospital, number of beds in any affiliated/rotational site you will send

residents to include the main medical/surgical services list at your principle site is there a high

proportion of any particular patient group to your site? e.g. indigenous Australians, include

weblink(s) to your hospital service.

Hospital /Residency setting description (Allow for 3 to 4 paragraphs for the description).

Hospital / Setting description example statements

Example 1.

The Good Patient Care hospital is a public principal referral hospital in metropolitan Brisbane, Queensland of

approximately 700 beds. It forms the main centre across the Good Patient Care network of three hospitals.

The hospital has one of Australia’s busiest emergency and trauma centres, the second largest Intensive

Care Unit in Australia and is home to multiple state-wide services.

The hospital houses Queensland’s only heart and lung transplant service, the Queensland Adults Burn

Service and the Queensland Melanoma Service. Patients come to Good Patient Care hospital for speciality

services like comprehensive cancer care, respiratory medicine, cardiology and cardiovascular services and

in patient and community psychiatry care.

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Example 2.

Far Out Rural Referral hospital is a public acute group C hospital (AIDH peer group classification) located in

rural South Australia. It offers a broad range of services, including general medical, surgical, and obstetric

services across 150 beds. It also has an emergency service. The hospital supplies outreach services and

visiting health clinics for three aboriginal communities in the region. It has a strong connection to community

and is supported by active local fundraising. The hospital has won quality awards for its transitional care and

community liaison.

Pharmacy Setting

Describe your hospital pharmacy department/residency program setting. Be sure to describe any

unique characteristics of your department/ residency program site that may offer a ‘local flavour’ to

the residency program. Example Statements are provided. Hospital Pharmacy description example

statements.

Upload your department organisational structure; include proposed reporting lines for residents. Attach a file.

You may wish to upload your service profile included in your NSQHS standards accreditation. Attach a file.

Example 1.

Care For Me hospital pharmacy department offers a united team committed to high quality patient care. The

department has a long history of supporting professional development and takes students weekly and for

block placements from a variety of university pharmacy schools. The department has a formalised

performance development program and has a buddy program for interns matched with other early career

pharmacists. We have strong links with the University of Excellence and support one 50:50 joint

appointment. The department has won hospital network quality awards for its quality audit projects. The

department and staff see the residency program as a way to formalise our already structured rotation

program for early career staff.

Example 2.

We Look After You hospital pharmacy department offers pharmacy services across two campuses; our acute

hospital and our sub-acute rehabilitation campus. Staff rotate across both campuses. Our sub-acute

rehabilitation service is considered a national leader in research into rehabilitation services with a partner

university. The pharmacy department is active in this research area and has a pharmacist research fellow

linked across both the university and the pharmacy department. There has always been a very strong

collegiate culture within the department. Inter-disciplinary care is routine, and pharmacy staff present case

studies and other work with the medical, nursing and allied health teams at unit meetings. Staff development

is integral to our service and a dedicated clinical educator pharmacist supports a formal program.

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THE RESIDENT-PROGRAM RELATIONSHIP

Refer to: Accreditation Standards: Domain 1 when addressing the following section.

Describe your existing orientation process for pharmacist staff rotating to a new area. For example,

is an orientation manual provided? Are there defined learning objectives for the rotation? Is a

‘shadow-program offered (where the new pharmacist may shadow a more experienced staff

member)? Do you plan to change this process for your residents? *Ref. Standard 1.4, 4.8

You may wish to upload an example learning objective information sheet/ orientation manual/etc: Attach a file.

The SHPA Residency Program is a two-year practice based training program. How might you appoint

residents to your residency program (e.g. new appointment/transfer existing rotational staff to a

residency program/2017 interns appointed into 2018 resident positions)? *Ref. Standard 1.5

The resident is recognised as a team member with core responsibilities, defined workload and

service expectations. Give an overview of the likely core responsibilities, workload and service

expectations of a resident in your residency program. Guidance on resident’s responsibilities,

including patient bed load, should be sourced from the SHPA Standards of practice for clinical

pharmacy 2013. For example, consider the proportion of time devoted to clinical activities when the

resident is undertaking their clinical rotations (not medication supply or stock management).

Describe how you will preserve the overall resident clinical experience in times of staff shortages.

You should consider drafting a preliminary position description. *Ref. Standard 1.6

Upload DRAFT resident position description. Attach a file.

Training, resources and support for residents

Describe the workspace allocated to early-grade level pharmacists. *Ref. Standard 1.7 Is there a

dedicated work area available in the pharmacy department e.g. hot desk arrangement/ allocated

desk?

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Is there a computer available to allow literature review and other clinical/research work?

What clinical resources are available to existing early-grade level pharmacist? (e.g. online/hard copy

texts and references).

The SHPA Residency Program will require the resident to engage in specific program requirements including

completion of online training and attendance at 1x compulsory SHPA clinical seminar per year. SHPA will

also require the residency Program Leader to attend 1x compulsory event each year (e.g. Residency

Symposium). SHPA will work to ensure minimal impact on residency program sites where possible (e.g. by

scheduling events on weekends). *Ref. Standard 1.8

Is your residency program site able to facilitate up to 2 off-site training days per year per resident

and up to 2 off-site training days per year for your residency Program Leader? *Ref. Standard 1.8

Additional comments

What existing arrangements/ programs do you have to support staff in need of additional assistance

(e.g. employee assistance program for family and psychological support; clinical educator for

learning and development needs; buddy program for new staff). *Ref. Standard 1.9

Additional rotation sites

The breadth of resident experiences may be offered at a one or more rotation sites in addition to a home

site. A ‘rotation site’ is a site, other than the home site, at which part of the residency program is undertaken.

The rotation site is required to have a defined preceptor, but is not required to meet the overall standards.

Do you anticipate your resident(s) will be required to spend time at a rotation site(s)? Yes/No

<IF YES>

Please state for what duration of time and describe the nature of the pharmacy practice that resident

will be engaged in during the time away from the home site.

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Discuss the learning objectives for this rotation.

How will they align with the home site rotations?

Describe plans to involve any rotation sites outside of the home site in your residency program

design (if applicable).

Upload any planned timetable / provisional program that demonstrates the rotation site linkages with the

home site.

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CAPACITY AND EXPERIENCE OF DEPARTMENT AND STAFF


Residency leadership

+ The residency program should have a defined Program Leader and Residency Leadership Group

+ 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.

+ Ref. Standard 2.1, 4.1

What is the name of your Residency Program Leader?

Please provide their Curriculum Vitae. Attach a file.

+ The Residency Leadership Group is a group of staff who provide consultation, guidance and

oversight of a residency program or programs.

+ The Group should include relevant Program Leaders, senior pharmacy staff, preceptors and (in

future) former residents. It may also include non-pharmacist staff e.g. a medical or nursing

representative experienced in clinical education.

+ Ref. Standard 2.2

Suggest the make-up of your Residency Leadership Group. Staff titles are sufficient rather than staff

member names for this application.

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. You may wish to upload this information via a collated document

including a brief bio of each preceptor that outlines the clinical and supervisory experience of the

preceptors. *Ref. Standard 2.2

Please upload rotation description and preceptor names / bio here. Attach file.

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SHPA may offer support for training and development of preceptors. Identify any specific training

and development needs of your Residency Program Leader and/or Preceptors e.g. required training

in supervision, teaching, mentoring or suggest any suggest any other support SHPA may be able to

provide such as access to ClinCAT evaluators. *Ref. Standard 2.2

Consider your current commitment to teaching, education and professional development in your department.

*Ref. Standard 2.3; 2.4, 4.9

Please discuss your existing commitment to student education and training

Please discuss your existing commitment to interns.

Please discuss any additional links with Universities (in addition to taking students).

Give some examples of your staff commitment to the betterment of the profession and hospital

pharmacy practice through active involvement in professional committees, research, SHPA, other

external advisory groups. Make specific comment of those staff who might be Program Leaders or

preceptors. You may also upload documents *Ref. Standard 2.5

Upload supporting documents. Attach file.

Describe your department’s commitment to continuous quality improvement. Describe any audit

programs and/or quality initiatives. Documents included for NSQHS Standards accreditation may be

relevant. *Ref. Standard 2.6, 4.11

Please upload any relevant accreditation documents. Attach a file.

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SHPA’s residency program aims to train competent generalist pharmacists with core skills across the 5

Domains of the Advanced Pharmacy Practice Framework (APPF). This includes Transition level (Advanced

Stage 1) competency in research skills. *Ref. Standard 2.7

How does your hospital pharmacy department support research? Describe any practice research

your department has been involved in over the past 2 years. Describe any current research projects.

Give details of any key staff who have research experience. Upload up to five key examples of

conference presentations (poster or oral) and/or peer viewed published papers.

Upload supporting documents. Attach a file.

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RANGE OF PHARMACY SERVICES AND ABILITY TO DELIVER THE RESIDENCY CURRICULUM


Refer to Ch.9 in the SHPA Standards of Practice for Clinical Pharmacy Services for definitions and

classifications of service related groups/bed types.

Describe your existing staff allocation for these categories per weekday service (if such clinical

services exist) as per outlined in fields below.

CATEGORY 1. Specialist Units (e.g. haematology, medical oncology, renal medicine).

Total number of beds in this category

FTE clinical pharmacists allocated to this category

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.



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CATEGORY 5. Minimal changes to medicines anticipated (e.g. ENT, obstetrics, gynaecology).



CATEGORY 6: Longer stay admissions (e.g. Drug & Alcohol, Non-acute geriatric)



CATEGORY 7. Critical care units (e.g. critical care units, extensive burns)

Number of PATIENTS requiring clinical pharmacy services per day

Total FTE clinical pharmacists providing clinical pharmacy services per day

CATEGORY 8. Review and advice on medicine usage - with urgency (e.g. emergency, medical

assessment and planning units, short stay acute medical assessment units < 48 hrs)

Number of PATIENTS requiring clinical pharmacy services per day

Total FTE clinical pharmacists for this category

Training methods, rotations and curricula

Discuss the teaching and training of pharmacy staff in your department. Explain methods of teaching

such as direct observation of clinical practice and feedback on wards/units, presented cases to

teams, journal clubs etc. You may wish to upload an example training plan for rotational staff. *Ref.

Standard 3.2, 3.3

Upload an example training plan for rotational staff. Attach a file.

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The SHPA residency curriculum requires residency programs to ensure residents spend 6 months in

a medical rotation (for example, across general medicine, cardiology, respiratory, infectious

diseases, etc.), 6 months in a surgical rotation (for example, across general surgery, cardiothoracic

surgery, breast and gynaecological surgery, colorectal surgery, orthopaedic surgery, etc.), 6 months

in an operational role (for example across inpatient/discharge and outpatient dispensary, clinical

trials, manufacturing, medicines information, etc.) and one elective rotation.

Provide detail as to how you propose to structure your clinical and operational rotations to meet

these requirements. Please upload a provisional program. Also consider options for what an elective

rotation might cover, including a possible rotational site (e.g. such as rural hospital/ ambulatory care

setting). How do you propose to structure your clinical and operational rotations to meet these

requirements? *Ref. Standard 3.4, 3.5

Please upload a provisional program. Attach a file.

Demonstrate your hospital pharmacy department’s participation in interdisciplinary patient care.

Give examples of interdisciplinary clinical meetings, how pharmacy staff are involved in patient care

planning, and the frequency of involvement e.g. within multidisciplinary ward rounds,

multidisciplinary team meetings, involvement in outpatient clinics and pre-admission clinics. *Ref.

Standard 3.6

Provide an outline of your hospital pharmacy department’s overall participation in key hospital committees

and working groups. Examples could include membership/participation on committees such as

medication safety committees, clinical review committees, hospital research or ethics committees.

Consider including any commendations arising from NSQHS Standards accreditation. How will your

resident(s) participate in interdisciplinary patient care? *Ref. Standard 3.7

Commendations arising from NSQHS Standards accreditation. Attach a file.

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COMMITMENT TO PROFESSIONAL DEVELOPMENT


ClinCAT will be a resident evaluation requirement as part of the SHPA Residency Program. Do you

have a ClinCAT evaluator on staff? Yes/No

ClinCAT Evaluators (Not Applicable)

This section is not applicable because of your response to question: "ClinCAT will be a resident evaluation

requirement as part of the SHPA Residency Program. Do you have a ClinCAT evaluator on staff?"

How many staff are ClinCAT evaluators?

If ClinCAT evaluators are not on staff, discuss your access to ClinCAT evaluators (e.g. via an

external arrangement). If you do not have access to a ClinCAT evaluator, describe the types of

support SHPA might provide in order for you to include ClinCAT review as a required performance

evaluation tool within the SHPA Residency Program curriculum. *Ref. Standard 4.3

Upload clinical educator position description. Attach a file.

Outline and provide evidence of the types of performance evaluation tools and assessment you

currently utilise in your hospital pharmacy department (e.g. ClinCAT, mini-PAT, mini-CEX, 360

feedback). Describe how these tools are used (including who and when) as part of an overall

professional development planning for staff. Upload any performance development documentation

as an example. Review the example evaluation/assessment matrix included on the SHPA Residency

home page and consider how your residency program might accommodate such requirements. *Ref.

Standard 4.5, 4.6, 4.7

Upload any performance evaluation documentation as an example. Attach a file.

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Teaching and training

Describe your involvement in teaching and training to those staff outside of the hospital pharmacy

department e.g. medical staff, medical students, nursing staff, patient and community education (e.g.

cardiac rehabilitation classes), any other teaching. *Ref. Standard 4.10

The SHPA Residency Program curriculum aims to develop highly skilled generalist pharmacists with

competency across all five domains of the Advanced Pharmacy Practice Framework. With respect to

the Leadership and Management Domain, describe any leadership development programs you

currently offer or that you plan to make available to residents *Ref. Standard 4.12

COMMITMENT TO RESIDENCY AND THE RESIDENT

The SHPA Accreditation Standards for pharmacy residency programs expects the residency program site

has as its core commitment, a focus on the learning and professional development of the resident.

Describe why your hospital pharmacy department is keen to participate in the SHPA Residency

Program.

Thank you for your application

SITE ACCREDITATION APPLICATION EXAMPLE QUESTIONS

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