19. Current Climate of Residency Training / What is toxic healthcare training?

On this episode, Thu and Saley talk about trends they have observed in residency application numbers and positions available over recent years. They also discuss challenges around toxic behaviors in training environments and how those impact learners. The speakers debate where to draw the line between the necessary difficulties of medical education and actual abusive treatment. Additionally, the episode covers sources of pharmacy residency program funding, challenges some programs face in securing reimbursement, and efforts to increase funding levels. Overall, the episode aims to have an open discussion about the current climate of residency programs while also addressing related issues around expectations, mental health, and compensation. Key Takeaways: 1. Pharmacy residency applicant numbers have been declining steadily since 2019 while position openings have increased, likely improving match rates. 2. Toxic behaviors in healthcare training environments can negatively impact learners, particularly those from underrepresented groups, through non-academic factors. 3. It's important to distinguish necessary difficulties of medical education from actual abusive treatment when evaluating training programs and feedback. 4. Many pharmacy residency programs rely on Medicare reimbursement which some have struggled to secure due to changing guidelines and audits. 5. Both residents and preceptors would benefit from training to effectively deliver and receive constructive criticism and difficult feedback without harm. ••••••••••••••••••••••••••••••••••••••••­­­••••••••••• Follow us on social media ▷Hey Rx Friends, We Got This! https://linktr.ee/Heyrxfriends Instagram: https://www.instagram.com/heyrxfriendswgt TikTok: https://www.tiktok.com/@heyrxfriendswgt YouTube: Hey Friends We Got This ▷Thu https://linktr.ee/empoweredpharmd Instagram: https://www.instagram.com/empowered.pharmd/ LinkedIn: https://www.linkedin.com/in/tn-empowered-pharmd Substack: https://drthurx.substack.com/ ▷Saley: Instagram: https://www.instagram.com/reziprep360 LinkedIn: https://www.linkedin.com/in/straore1 TikTok: https://www.linkedin.com/in/straore1 X: ReziPrep360 YouTube: @ReziPrep360 ••••••••••••••••••••••••••••••••••••••••­­­••••••••••• Chapters: 00:00 Intro 7:11 Residency match analysis 16:33 What is considered toxic? 23:40 Our own residency trauma 30:39 Giving and receiving feedback 45:53 Middle ground 48:05 The business of pharmacy 55:00 ASHP letter to CMS 1:03:07 Outro ••••••••••••••••••••••••••••••••••••••••­­­••••••••••• Business inquiries: [email protected] Disclaimer: All opinions are our own.