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determined based on subjective information and evaluations from current residents, desire to teach,and aptitude for teaching. Aptitude is based on meeting criteria set forth in the ASHP AccreditationStandards along with participation in preceptor development activities and evaluations from current andprevious residents.The RPD has the authority to add or remove preceptors at any time at their discretion.Preceptors not meeting the minimum criteria may be designated as preceptors-in-training for no longerthan 2 years. Preceptors-in-training will have a preceptor advisor and an individualized preceptordevelopment plan that is reviewed by RAC at least annually (see below: additional requirements forpreceptors-in-training).Preceptor ExpectationsPreceptors are expected to participate actively in the residency program’s continuous qualityimprovement processes; demonstrate practice expertise and preceptor skills and strive to continuouslyimprove; adhere to residency program and department policies pertaining to residents and services; anddemonstrate commitment to advancing the residency program and pharmacy services.Each residency learning experience preceptor is responsible for the following activities: Aiding RPD with developing specific goals and objectives for their learning experiencePreparing/updating learning experience descriptions as instructed by the RPDOrienting residents to their learning experience prior to or on the first day of the learningexperienceCompleting formative evaluations as scheduled in the electronic evaluation systemCompleting all summative evaluations within the electronic evaluation system no later than 7days from the completion of the learning experienceMeeting with the resident to discuss summative, self, and preceptor/learning experienceevaluationsSubmitting documentation of preceptor development activities to the RPD or designeePreceptor DevelopmentEach residency program is responsible for ongoing preceptor program improvement and ensuring a highlevel of competency for all pharmacists involved in precepting pharmacy residents. The RPD, inconjunction with the residency advisory committee (RAC), will be responsible for the following on anannual basis: An assessment of preceptor needsSchedule of activities to address identified needsPeriodic review of effectiveness of planAssessment of Preceptor Development NeedsAnnually, the RPD will review residents’ evaluations of preceptors and learning experiences, as well assolicit verbal feedback from preceptors, to identify potential preceptor development needs. Asapplicable, RPD will review ASHP residency accreditation site visit recommendations to identifyrecommendations or areas of partial compliance which pertain to precepting skills.7

Development Process for Annual Preceptor Development PlanThe RPD and preceptors will come to a consensus on preceptor development areas to focus on duringthe upcoming year. RPD utilizes a plan for improving the quality of preceptor instruction based on anassessment of residents, written evaluation of preceptor performance and other sources. Preceptordevelopment needs identified through the assessment process will be discussed annually as part of theend-of-year RAC meeting in June.The RPD (or a designee) will develop a tentative preceptor development plan for the upcoming yearwith activities to address areas of need and a schedule of activities and will present to the residencyadvisory committee (RAC) at the July or next scheduled RAC meeting.If preceptor development needs have been identified for individual preceptor(s) which will not be metby the current preceptor development plan, the RPD may also develop an individual plan for thesepreceptors in addition to the plan for the preceptor group.The preceptor development plan will be distributed to all preceptors and documented in the July or nextscheduled RAC minutes.Review of Effectiveness of Previous Year’s PlanA review of current preceptor development plan will occur at the annual end-of year preceptor meetingin June and documented in the minutes. Effectiveness of the plan will be assessed as follows: Review current preceptor needs assessment results to determine if these are still areas of needDiscussion with preceptors of the effectiveness of activities utilized over the past year toaddress preceptor development needsDiscussion of effectiveness of previous year’s plan will be used when developing topics,scheduling, and preceptor development activities for upcoming yearAdditional Required Preceptor Training for New Preceptors and Preceptors-In-Training1. Read and discuss the relevant Guidance Document for the ASHP Accreditation Standard forPGY1 or PGY2 Pharmacy Residency Programs with RPD2. Read Residency Manual and review components with RPDAdditional Requirements for Preceptors-In-TrainingAn advisor will be appointed to mentor the preceptor-in-training. The advisor will be required to co-signany summative evaluations completed by preceptor-in-training.The preceptor-in-training, in conjunction with RPD and advisor, will develop an individual plan designedto ensure preceptor-in-training meets all ASHP preceptor requirements within 2 years.Other Opportunities for Preceptor Development APhA and Pharmacist Letter have educational programs available to orient new preceptors andrefreshers for current preceptors University of Washington School of Pharmacy has web-based programs available to preceptors ASHP has web-based programs available to preceptors Preceptors may attend programs locally, regionally, or nationally to enhance their preceptingskills8

Those who attend meetings will share information at residency meetings or other forums asappropriateSelf-study materials will be sharedSystem ResourcesDrug InformationA computerized drug information retrieval system is available via the MHS information system networkwhich can be accessed by users most anywhere in the health system. The MHS information systemnetwork also allows for access to the internet for web-based drug information sites including OVID,Medline, Up-to-Date, Cochrane Stat Ref, and others. This also includes access to the MHS on-line drugformulary, which is maintained by the MHS Drug Information Specialist Pharmacist.Information TechnologyMHS uses the EPIC health information system and electronic medication record (EMR) for its acute andambulatory care services. The combination of the EPIC acute and ambulatory system provides clinicianswith a fully integrated health information system that allows improved quality and safety of care for ourpatients. MHS fully utilizes electronic dispensing cabinets throughout the acute care services as well asintegrated smart pumps and bedside bar code technology. In addition, carousel technology is used incentral pharmacy for medication storage, distribution, and inventory control.Medication SafetyMHS developed a system wide Medication Safety Program within the pharmacy department todemonstrate the unparalleled value our organization places on the safety of our patients and staffmembers. Two pharmacists and two technicians operate within the Medication Safety Program tocontinually support the system’s growth both retrospectively and prospectively around adverse drugevents. The Medication Safety Team actively collaborates with all pharmacies and system resourcesthroughout the system, while striving to lead initiatives to align with best practices related to improvingpatient safety. The interdisciplinary relationships fostered by the Medication Safety Team support ourorganizations journey to becoming a Highly Reliable Organization (HRO) and operating within a JustCulture.9

Resident Learning ProgramsRole of the Pharmacy ResidentResident learning is accomplished by combining preceptor teaching and work experience during a oneyear period. MHS residency programs allow residents to apply educational information and techniqueslearned to actual work situations. Residents are expected to demonstrate learned clinical practicebehaviors, apply learned concepts, and to use the residency experience to develop the array of skillsrequired to be a successful clinician.Organizationally, residents are a unique set of employees who experience both staff and managementroles. It is expected that each resident will integrate themselves into the staff and managementstructure of Pharmacy Services and contribute to the achievement of department goals. Each resident isalso expected to actively work with the program director and program preceptors to shape thecharacter of their individual program. Residents are expected to manage their program, which includesmaintaining relevant documentation, scheduling meetings, arranging their scheduling jointly with theirfellow residents, and other similar activities.Role of the PreceptorIt is expected that each preceptor, in conjunction with the resident and the program director, shall takepart in the development of the goal, objectives, and activities prior to beginning of each residenttraining experience. It is also expected that the preceptor shall attempt to cover, through topicdiscussions, each area of clinical pharmacy practice associated with their specialty. It is also importantthat the preceptor attempt to focus on any of the resident's areas of special interest and growth andtailor the learning experience accordingly. It is expected that the preceptor shall attempt to allow theresident as much "hands on" experience as safely possible in dealing with patients, medical staff, andnursing staff.Program Management and EvaluationThe extent of resident’s progression toward achievement of the program’s required educational goalsand objectives will be evaluated.Summative Evaluations of Learning ExperiencesSummative evaluation of the residents’ progress toward achievement of assigned educational goals andobjectives, with reference to specific criteria will be conducted after each learning experience by thepreceptor with the resident. For longitudinal rotations, evaluations will be completed on a quarterlybasis. The resident and preceptor will schedule a planning session at the start of each learningexperience to review and customize the established goals and objectives to the resident’s needs and toestablish mutual expectations of each other.Preceptors will check the appropriate rating for the goals and objectives being evaluated. In addition,preceptors may mark a goal as achieved for the residency program if all objectives associated with thatgoal were evaluated during the learning experience. Preceptors should use the following guidance forrating the goals and objectives:10

For GOALS:o Achieved for the Residency (ACHR) is earned for a goal if the resident can performassociated activities independently across the scope of pharmacy practice, and if theresident has achieved each objective associated with that goal.o Preceptors may mark a goal as ACHR only if all the objectives associated with that goal areevaluated during that learning experience. Otherwise, the RPD will assess and mark ACHRduring the quarterly evaluation and residency plan update. For ident is notperforming at anexpected level at thattime; significantimprovement isneeded in order tomeet objectivesSatisfactoryProgress (SP)Resident isperforming andprogressing at a levelthat shouldeventually lead toproficiency in theobjectivesGuidanceThe resident exhibits deficiencies in knowledge/skills forthis area. For example, the resident: Requires repeated prompting or assistance toperform daily activities, or cannot complete dailyactivities in a timely fashion Is unable to perform appropriate self-evaluation,or does not incorporate preceptor feedback

MultiCare Health System (MHS) is a not-for-profit health care organization that has been caring for communities in Washington state since the founding of Tacoma's first hospital in 1882. With more than 20,000 team members, including employees, providers, and volunteers, MultiCare is the largest, not-for-