title: Designing a pharmacy residency program: focus on a common accreditation challenge.
abstract: OBJECTIVE
  One organization's stepwise approach to achieving full compliance in an area often cited for improvement in pharmacy residency accreditation surveys is described.
  
  
  CONCLUSIONS
  Principle 4 of the American Society of Health-System Pharmacists (ASHP) accreditation standard for postgraduate year 1 (PGY1) residencies lists requisite components of program design, conduct, and evaluation; many organizations seeking accreditation are evaluated as being in partial compliance with one or more elements of Principle 4. Several years ago, the Marshfield Clinic, a physician group practice in Wisconsin, launched an initiative to expand its postgraduate medical training program to include a PGY1 pharmacy residency. After a gap analysis of current practices and accreditation requirements, monthly meetings of pharmacy, faculty, and corporate leaders were conducted to address program development challenges, with ongoing input from the clinic's division of education. Strategies were developed for meeting all Principle 4 criteria. For example, with regard to component 4.2 (Program Delivery), the clinic developed a residency program handbook including standing operating procedures and a residency preceptor guide with a trainee evaluation scale, professional development resources, and guidance on providing resident feedback. After an internally conducted mock site visit to identify and resolve Principle 4 issues and other compliance issues, the clinic underwent an ASHP site visit and was subsequently accredited by the ASHP Commission on Credentialing.
  
  
  CONCLUSIONS
  Marshfield Clinic used an efficient step-by-step process in the development of its PGY1 pharmacy residency program and achieved full compliance with all of the criteria outlined in Principle 4 of the ASHP accreditation standard.
authors.affiliation: Marshfield Clinic, Marshfield, WI 54449, USA. griesbach.sara@marshfieldclinic.org
authors.forename: Sara A
authors.initials: SA
authors.lastname: Griesbach
authors.forename: Tonja L
authors.initials: TL
authors.lastname: Larson
authors.forename: Sue A
authors.initials: SA
authors.lastname: Wilhelm
mesh_terms: D000068:Accreditation / Q000592:standards; D004512:Education, Pharmacy / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007397:Internship, Nonmedical / Q000458:organization & administration* / Q000592:standards; D019982:Organizational Case Studies; D010595:Pharmacists / Q000592:standards*; D011231:Preceptorship / Q000458:organization & administration* / Q000592:standards; D016730:Program Development / Q000379:methods; D014922:Wisconsin