Skip to main content
Log in

Evaluating Documentation of Prescribing Training Experiences in Pharmacy Residency Programs

  • Original research
  • Published:
Medical Science Educator Aims and scope Submit manuscript

Abstract

Background

Clinical pharmacist specialists are ideal candidates to reduce healthcare costs and manage chronic disease states. However, it is unknown whether residency programs document prescribing training.

Purpose

The aim of the study was to evaluate whether programs document prescriptive authority training in pharmacy residency programs.

Methods

To evaluate whether California residency programs document prescribing training, we conducted a systematic review utilizing the key search terms to examine residency information resources: American Society of Health-System Pharmacists (ASHP) residency program information and PubMed query. Primary outcome for documentation of prescriptive authority training was based on a defined search criterion.

Results

Out of 128 residency programs, 110 met criteria for evaluation. A total of 47 residency programs (13 institutions) met criteria for prescribing training. Most programs did not define which specialty clinics offered prescribing training.

Discussion

Based on search criterion, less than 50% met criteria for documentation of prescribing training in residency programs. With that said, there are limitations given a strict search criterion, so additional research is needed to further investigate whether prescribing trainings are offered. Given the limited amount of residency programs documenting prescribing training, it is essential to define standards and expand documentation of prescribing training.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Grady PA. Advancing the health of our aging population: a lead role for nursing science. Nurs Outlook. 2011;59(4):207–9.

    Article  Google Scholar 

  2. Morgan L. US healthcare annual spending estimated to rise by 5.8% on average through 2024. Am Health Drug Benefits. 2015;8(5):272.

    Google Scholar 

  3. Church RM. Pharmacy practice in the Indian Health Service. Am J Hosp Pharm. 1987;44(4):771–5.

    Google Scholar 

  4. Ourth H, Groppi J, Morreale A, Quicci-Roberts K. Clinical pharmacist prescribing activities in the Veterans Health Administration. Am J Health Syst Pharm. 2016;73(18):1406–15.

    Article  Google Scholar 

  5. Clause S, Fudin J, Mergner A, Lutz JL, Kavanaugh MM, Fessler K, et al. Prescribing privileges among pharmacists in Veterans Affairs medical centers. Am J Health Syst Pharm. 2001;58(12):1143–5.

    Article  Google Scholar 

  6. American Society of Health-System Pharmacists. Pharmacy and Medically Underserved Areas Enhancement Act. https://www.ashp.org/Advocacy-and-Issues/Provider-Status/Pharmacy-and-Medically-Underserved-Areas-Enhancement-Act. Accessed June 2, 2020.

  7. Dalton K, Byrne S. Role of the pharmacist in reducing healthcare costs: current insights. Integr Pharm Res Pract. 2017;6:37–46.

    Article  Google Scholar 

  8. Yap D. State provider status advances in 2017. Pharm Today. 2018;24(3):58.

    Article  Google Scholar 

  9. California Society of Health-System Pharmacists. SB 493. https://www.cshp.org/page/SB493. Accessed June 2, 2020.

  10. California State Board of Pharmacy. Advanced practice pharmacist information. https://www.pharmacy.ca.gov/applicants/app.shtml. Accessed June 2, 2020.

  11. California Pharmacists Association. Advanced practice pharmacist requirements. http://appharmacist.com/requirements. Accessed June 2, 2020.

  12. California State Board of Pharmacy. 2019 California law book. Sacramento, California 2019.

  13. American Society of Health-System Pharmacists. Residency directory. https://www.ashp.org:443/Professional-Development/Residency-Information/Residency-Directory. Accessed March 10, 2020.

  14. Bramer WM, de Jonge GB, Rethlefsen ML, Mast F, Kleijnen J. A systematic approach to searching: an efficient and complete method to develop literature searches. J Med Libr Assoc. 2018;106(4):531–41.

    Google Scholar 

  15. PubMed. https://pubmed.ncbi.nlm.nih.gov/. Accessed March 10, 2020.

  16. Coburn BW, Cheetham TC, Rashid N, Chang J, Levy GD, Kerimian A, et al. Rationale and design of the randomized evaluation of an ambulatory care pharmacist-led intervention to optimize urate lowering pathways (RAmP-UP) study. Contemp Clin Trials. 2016;50:106–15.

    Article  Google Scholar 

  17. Goldfien R, Pressman A, Jacobson A, Ng M, Avins A. A pharmacist-staffed, virtual gout management clinic for achieving target serum uric acid levels: a randomized clinical trial. Perm J. 2016;20(3):15–234.

    Article  Google Scholar 

  18. Heisler M, Hofer TP, Klamerus ML, Schmittdiel J, Selby J, Hogan MM, et al. Study protocol: the adherence and intensification of medications (AIM) study – a cluster randomized controlled effectiveness study. Trials. 2010;11:95.

    Article  Google Scholar 

  19. Aboff BM, Collier VU, Farber NJ, Ehrenthal DB. Residents’ prescription writing for nonpatients. JAMA; 288(3): 381–385.

  20. American Society of Health-System Pharmacists. Adventist Health White Memorial Residency Listing. https://accreditation.ashp.org/directory/#/program/residency/programInfo/92086. Accessed March 10, 2020.

  21. Dignity Health. Residency in pharmacy practice. https://www.dignityhealth.org/central-california/locations/stjosephs-stockton/for-physicians/residency-in-pharmacy-practice. .

  22. Hirsch JD, Bounthavong M, Arjmand A, Ha DR, Cadiz CL, Zimmerman A, et al. Estimated cost-effectiveness, cost benefit, and risk reduction associated with an endocrinologist-pharmacist diabetes intense medical management “Tune-Up” clinic. J Manag Care Spec Pharm. 2017;23(3):318–26.

    Google Scholar 

  23. Tallian KB, Hirsch JD, Kuo GM, Chang CA, Gilmer T, Messinger M, et al. Development of a pharmacist-psychiatrist collaborative medication therapy management clinic. J Am Pharm Assoc. 2012;52(6):e252–8.

    Article  Google Scholar 

  24. Nkansah NT, Brewer JM, Connors R, Shermock KM. Clinical outcomes of patients with diabetes mellitus receiving medication management by pharmacists in an urban private physician practice. Am J Health Syst Pharm. 2008;65(2):145–9.

    Article  Google Scholar 

  25. Ourth H, Groppi J, Morreale AP, Quicci-Roberts K. Clinical pharmacist prescribing activities in the Veterans Health Administration. Am J Health Syst Pharm. 2016;73(18):1406–15.

    Article  Google Scholar 

  26. Groppi JA, Ourth H, Morreale AP, Hirsh JM, Wright S. Advancement of clinical pharmacy practice through intervention capture. Am J Health Syst Pharm. 2018;75(12):886–92.

    Article  Google Scholar 

  27. American Society of Health-System Pharmacists. Accreditation standards for PGY1 pharmacy residencies. https://www.ashp.org/Professional-Development/Residency-Information/Residency-Program-Resources/Residency-Accreditation/Accreditation-Standards-for-PGY1-Pharmacy-Residencies. Accessed June 2, 2020.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Timothy C. Chen.

Ethics declarations

Conflict of Interest

The authors declare that there are no conflicts of interest.

Ethical Approval

N/A

Informed Consent

N/A

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, T.C., Nguyen, T.A. Evaluating Documentation of Prescribing Training Experiences in Pharmacy Residency Programs. Med.Sci.Educ. 31, 463–467 (2021). https://doi.org/10.1007/s40670-020-01182-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40670-020-01182-x

Keywords

Navigation