Evaluating the evolution of philosophy of practice over postgraduate year 1 residency training

Abstract

Introduction: Philosophy of practice (PoP) serves as the foundation for any patient care practice. It is a set of professional values and beliefs that guides a practitioner's actions and decisions in practice. The objective of this study was to evaluate if and how postgraduate year 1 (PGY-1) residency training changed pharmacy residents' PoP.Methods: This was a qualitative comparative analysis of PGY-1 residents' PoP at the start vs the end of residency. In July 2019, 23 incoming ambulatory care PGY-1 residents at the University of Minnesota were asked to articulate their PoPs. In April 2020, the same cohort was asked to revisit their PoPs and make any necessary revisions. Baseline PoPs were coded inductively to create a standard codebook. The codebook was applied to final PoPs to assess any changes or new codes that emerged.Results: Three new codes emerged in the final PoPs: improving health of the community, educating the future generation of pharmacists, and professional advocacy and service. One of the largest differences that occurred was the frequency of the code "interprofessional team collaboration," with only five residents including this in their baseline PoP compared with 16 in the final PoPs. Conclusion:After 1 year of residency training, concepts such as interprofessional collaboration became more prevalent in residents' PoPs suggesting this may be a concept residents understand and appreciate more during residency. Additionally, the emergence of new codes, such as professional advocacy and service, may also reflect the professional identity development that occurs during residency. K E Y W O R D S medication therapy management, pharmaceutical care, philosophy of practice j residency 1 | INTRODUCTION According to Cipolle and colleagues, 1 a patient care practice has three core components: (1) a philosophy of practice (PoP), (2) a patient care process, and (3) practice management. The pharmacist patient care process represents the step-by-step process a practitioner goes Previous presentations: This work was presented as a virtual poster at the 2020 American College of Clinical Pharmacy Annual Meeting.