1032 0 obj <>stream Learning experience description - Internal Medicine, 9. 1000 "Politics" sometimes challenge surveyors. Click here to see this document. If not, it is up the program to determine how to remedy the situation. Our next board member spotlight is Craig R. Jackson, MSW, JD, FASAHP. What if my school is on the pass/fail system rather than a traditional letter grade system? While different lead surveyors use different methods to complete the report, a draft is often developed during the site visit and agreed to by the team. The information reviewed includes the following . . 2. Professional development opportunities can range from a single workshop to a semester-long academic course, to services offered by a medley of different professional development providers and varying widely with respect to the philosophy, content, and format of the learning experiences. What is your application process? It is important to maintain consistency and not do favors in this way at one site but cite the same item as a NC or PC at another. The 8 modules will cover the rationale and process for using pharmacogenomics to improve medication use, the key aspects associated with successful implementation of pharmacogenomics in a health system, interpreting pharmacogenomics results and the associated recommendations regarding pharmacotherapy in patient-specific care settings, and will Prof. The COC's recommendations next go to the ASHP Board of Directors (BOD). Surveyors need to be thoroughly familiar with the ASHP accreditation standards and regulations, skillful at identifying what evidence to access to determine if the standards and regulations are being met and reviewing this evidence to make appropriate accreditation decisions. . Prof. They provide consistency in the process, conduct of the review, knowledge of the standards and regulations and keep the review in order. Hospitals. Consistency criteria (page 85 of your manual) guide these decisions. }, Be prepared to discuss the materials, including: 1. 1975 buick park avenue for sale . "We found that loneliness was central to the experiences of expectant and new mothers with depression. Residency Information Residency Program Resources Residency Directory Residents Student Residency Resource Center a2a_config.prioritize = ['facebook', 'twitter', 'pinterest', 'email', 'linkedin']; Please do not submit curriculum vitae in lieu of the record form. In addition, you will find documents for your review pertaining to a case that begins here and will continue at the live workshop. DO NOT submit any other materials (e.g., curriculum vitae/resume' or copies of publications). A guest surveyor for each PGY2 area usually is involved with the surveys with multiple guest surveyors. Craig Jackson is currently t, As one of our ASAHP membership benefits, we offer access to the Institutional Profile Survey! Assume you are preparing for a survey and receive these documents for review prior to the survey. However, most surveys roughly follow these steps: Get together with survey team the night before for dinner to discuss strategy for the survey. There are many opportunities to provide feedback during the site visit. document.getElementById(location.hash.replace('#', '')).scrollIntoView(true); An organization of 130+ universities and employers focused on critical issues affecting allied health education. 3. ASHP will be responsible financially for surveyor's airfare, ground transportation, lodging and food expenses during the time on survey. Orientation learning experience evaluation, 16. The RAC reviews in detail the preceptors' academic and professional records to determine if individuals are meeting principle 5 of the ASHP standards. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. While giving back to the profession in this role, you will also become even more familiar with the standards. To access the case materials, you may either: - Click on the hyperlink for each of the presurvey documents listed separately below and/or. career/prof. *#N [Content_Types].xml ( MK@!Um=HS~UPvwj "iS}l 1i DescriptionBecome part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities . While it is OK to describe how other programs have met parts of the standards, avoid dwelling on "how I do it". 1001 0 obj <> endobj ASHP encourages var scrollToTop = function () { 6,'nV% }); Demonstrates ability to maintain appropriate inventory levels of medications. ASHP is the only programmatic accreditor in the United States for pharmacy residency programs. hb```, 2. Click where it says "click here" for each listed below: New PGY1 Residency Accreditation Standards were approved by the Board on September 19, 2014 (click here). Within the domains are 22 components and 76 descriptive elements that further refine our understanding of what teaching is all about. We represent pharmacists who serve as patient care providers in acute and ambulatory settings. ASHP/ACPE are not prescriptive in their use and are only samples for your review and if you would like to modify them for your program. 2022 Newly Approved Accreditation Standard and Related Resources. Each of the standard's requirements are rated using this scale: Fully compliant (FC): 100% implementation of the requirement, Partially compliant (PC): 1% - 99% implementation of the requirement (Note: "Critical Factors (CF)" have additional rating requirements - see below), Noncompliant (NC): Zero implementation of the requirement, Not applicable (NA): Does not apply (e.g., standard requirement deals wish multi sites, but the program only uses one site). The practitioner surveyor for post graduate year two (PGY2) residency program surveys generally fulfills the criteria listed for PGY1 reviewers but are specific to the type of program that they lead. These are forwarded to the survey team for consideration and the lead surveyor leads the consensus building process. ET, ASHP Membership Moves You Forward You may be a colleague, especially in the PGY2 areas that are "small world" but you must still maintain objectivity. This collection includes a set of records for . The lead surveyor explains next steps, including when they will receive the final report, when and how they are to respond to the report, when the COC will act on their accreditation and when they will know the result. setTimeout(() => { Use of these forms will not guarantee granting of ASHP/ACPE accreditation. It will be mailed to you and you do not need to bring it to the workshop. Therefore, the standards are stated in terms which allow flexibility in the development of an educational program. Will a candidate be selected before the match? Read the following instructions to use CocoDoc to start editing and drawing up your Official Letter Of Invitation Request Form - Ashp: To begin with, look for the "Get Form" button and tap it. Instruction, and Professional Responsibilities. Details on ratings and accreditation recommendations can be found in your manual. Again, remain objective. USERAGREEMENT, Copyright 2023 American Society of Health-System Pharmacists. 1. Member $445.00. The survey report includes ratings of program compliance with each requirement on a checklist that is arranged like the pre-survey self-assessment questionnaire and a summary that includes areas of noncompliance and partial compliance and consultative recommendations. Opportunities to observe safety parameters (e.g., including medication storage, medication administration record reconciliation, use of technology) occur while on tour. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ As a surveyor, you need to be aware of the ASHP Commission on Credentialing Conflict of Interest Policy: External Professional Business Activities and the ASHP Commission on Credentialing Policy on Disclosure of Outside Interests, which are in your training manual (pages 15-19). The final survey report must be ready to be mailed to the program within 30 days of the survey. SYSTEMREQUIREMENTS Short courtesy call to the CEO followed by a review of documents with the pharmacy director, RPD and sometimes members of the administrative team, residency preceptors and residents. Wait until Official Letter Of Invitation Request Form - Ashp is shown. var a2a_config = a2a_config || {}; Organizational chart pharmacy department. Copyright 2023 American Society of Health-System Pharmacists. Resident Academic and Professional Record, 7. Our state web-based blanks and complete instructions remove human-prone faults. Get the free ASHP Professional Record Form - clinical wallacestate Description AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS ACADEMIC AND PROFESSIONAL RECORD For use with application for ASH Accreditation of Pharmacy Technician Training Programs. }, "1000"), Certified Pharmacy Executive Leader (CPEL), ACCP/ASHP's 2023 Live Review & Recert Courses. development leadership/management. Private conference of the surveyors to discuss and verify areas of non- and partial-compliance, as well as consultative recommendations. It may seem difficult or unfair to cite a program if/when you know that your own program does not meet the standard in the same area in question. What most commonly challenges the surveyor's task of comparing a residency program to the standards? Each surveyor makes their own travel arrangements. It is important to remain objective. self-evaluation, summative plans at least quarterly for longitudinal) - CF, 52% Services are not of a scope and quality commensurate with identified patient needs - CF, 52% Pharmacists do not prospectively help develop individualized patient treatment plans - CF, 37% Pharmacists do not adequately design and implement medication therapy monitoring plans for patients - CF, 37% Automated medication use systems and software do not support a safe medication use system - CF, Recent Top Areas of Partial Compliance with PGY2 Pharmacy Residencies (n=43), 88% Preceptors do not ensure all aspects of the assessment plan are completed (e.g. Explain the responsibilities and challenges of both the practitioner and lead residency surveyor and how to effectively fulfill your role. Teams may be as small as two individuals or may have many surveyors if a site has multiple PGY1 and PGY2 programs. After reviewing the response, the lead surveyor completes the "Confidential Page" on which the rating and accreditation recommendations are. In this 30 days, the report must also go through an editing process in ASD. At the December 8 workshop, you will see the survey report, confidential page and response to the survey report for the case and will have the opportunity to discuss them. During academic year 2008-2009, Jean served as the senior economist on health issues for the President's Council of Economic Advisers (CEA) in Washington, D.C. due to drug-related problems, and found a relatively low percentage (0.45%)18.A study in Denmark in 1988, however, found that 8% of all admissions in Consensus is sought but the lead surveyor makes the final judgment. The accreditation process is looking to see if "Best Practices" are followed at a training site. - If survey is for reaccreditation, materials from the previous survey and progress reports. q_7!AW`f!t`iHCBC^)m%J}441Z[INq'z g@Uu1m$aDc!AQ\ZuW|wwt1' PK ! WELCOME TO THE ASHP LEARNING CENTER. However, when you make suggestions, make sure you are clear in you comments what is required and what is just a suggestion. A LOT of Academic & Professional Record Review! The importance of academic freedom is recognized by ASHP. When possible, consider prefacing the recommendation with a positive comment. In preparation for the initial meeting of the survey team, based on a review of the program's background information, based on your review of the program's materials and your knowledge of the appropriate standards and best practices, formulate your own opinions to share with the survey team regarding areas that are, or are potentially NC (non-compliant) or PC (partially-compliant) as well as areas where more information needs to be gathered on site before a decision can be made. BHe was once on a PhD programme at Yale University. 4. 27. A self-guided, interprofessional online learning activity designed to build and enhance the knowledge and skills of those leading improvements in cultures of safety and safe medication use systems. Other Service to the Health Care Organization(s) or Academic Institution(s) (Narrative): 4. Investigates, analyzes, synthesizes, and ensures that issues, including those reported by the test vendor or other stakeholders, are appropriately resolved by staff and fully documented in stakeholder records. The MSDH offers a twelve-month Postgraduate Year One (PGY1) Community-Based Pharmacy Residency Program which is accredited by the American Society of Health-System Pharmacists (ASHP). For Preceptors-in-training only: a preceptor development plan has been created for this individual to meet eligibility, responsibility, and qualifications requirements in two years and is attached to this form. As their title suggests, they are the leader of the survey team. Search for jobs related to American society of health system pharmacists ashp accredited pharmacy technician program or hire on the world's largest freelancing marketplace with 22m+ jobs. 3. APA provides the skills and knowledge for both personal development and career advancement. 0 Certified Pharmacy Executive Leader (CPEL), Suggested Timeline for Submitting an Application, Application Timeline for International Organizations, ASHP Residency Accreditation Fee Schedule, Postgraduate Year One (PGY1) or Postgraduate Year Two (PGY2), Postgraduate Year One (PGY1) or Postgraduate Year Two (PGY2) Community Pharmacy Residency Program, Postgraduate Year One (PGY1) Managed Care Pharmacy, Pre-Candidate Postgraduate Year One (PGY1) or Postgraduate Year Two (PGY2), Online Directory Self Service Portal Instructions. This article describes the selection, planning, and implementation of vancomycin Bayesian software in the neonatal intensive care unit (NICU) within an academic health . Certificate. setTimeout( $(function () { - CF, 32% Pharmacists do not adequately design and implement medication therapy monitoring plans for patients - CF. With its 40-year track record of precise, accurate detail, nothing else comes close for compatibility, stability, storage, and preparation of parenteral drugs. recorded. In addition, preceptor needs are frequently discussed. CONTACTUS&FAQ 4. Note your current page number at the top of the screen when you need a break. ); Accreditation protects the public by setting standards. a2a_config.linkurl = 'https://www.ashp.org/'; ASD then forwards the decisions to the site upon ASHP BOD approval. // to avoid negative UX Unless your hosts ask for details, keep it brief. Certified Pharmacy Executive Leader (CPEL), Pre-Survey Questionnaire and Self-Assessment Checklist for Accreditation of a PGY1 Pharmacy Residency Program, Pre-Survey Questionnaire and Self-Assessment Checklist for Accreditation of a PGY2 Pharmacy Residency Program, Pre-Survey Questionnaire and Self-Assessment Checklist for Accreditation of a PGY1 Community Pharmacy Residency Program, Pre-Survey Questionnaire and Self-Assessment Checklist for Accreditation of a PGY1 Managed Care Pharmacy Residency Program, Critical Factors for Residency Accreditation Standards, ISMP Targeted Medication Safety Best Practices. Follow our simple actions to get your ASHP Professional Record Form - Clinical Wallacestate prepared rapidly: Pick the web sample from the library. In this role, you will have the opportunity to help uphold standards for the profession and help residency programs improve - while learning from the programs you visit! You will also need to be familiar with the supplemental outcomes, goals and objectives, if applicable, for the specific program you will be surveying. It is important that you review the case documents carefully before the December 8 workshop. DRUG INVENTORY & RECORDS MANAGEMENT (NOVICE):- Possesses fundamental proficiency working with drug inventory and records management. Accreditation becomes official when the BOD approves the COC's recommendations and the sites are notified. - In addition, some surveyors may ask the site for access to their ResiTrak documents so that the surveyors can review these evaluation tools in advance of the survey. General organization data collection form, Set 7: Exit interview with the CEO and other health-system administrators. Members can contribu, We have announced the date for our 2023 ASAHP Regional Summit! An effort to maintain efficiency and timeliness during the survey is essential. The lead surveyor will generally pay for meals on his/her charge card. 19. My Activities Start or resume your learning activities. Click here to see the list of the critical factors. The lead surveyor is either an ASHP full time staff member or on contract with ASHP to conduct surveys. Certified Pharmacy Executive Leader (CPEL), Sample Advisory Committee Meeting Minutes. "VHVfkIcDg`5`v,X6D2v$_S+620Ig/ !D During the site visit, the team must accurately identify how well the site and program meet the standards. Dr. Jackson currently serves as the President-Elect of the Board of Directors and was previously a Member of the Board of Directors. The accreditation survey can be seen as having three main phases. 2. What is your overall opinion of this program based on your document review? will take precedence, for the purposes of ASHP accreditation of programs , within the corre sponding state or jurisdiction. These include the opportunity to network with other practitioners, learn ideas to take back to improve the quality of program of your own program, as well as sharing them at other sites as you make your visits. When asked for your opinions, be sure you state them as opinions rather than requirements. You should compare the site's completed "Pre-Survey Questionnaire" and "Self-Assessment Checklist" to the corresponding "ASHP Accreditation Standard" for either PGY1 (pharmacy, community, managed care pharmacy) or PGY2 programs. Explore Catalog. Define accreditation, it's purposes and major issues concerning accreditation. Member $445.00. There are two components to practitioner surveyor training. 20. Critical Factors that are found to be partially compliant are rated as low, medium or high PC, based on surveyor judgement using these definitions: Consultative recommendations are not required but suggested. Before the end of the exit interview, the program has the opportunity to ask questions and, in some cases, present more information if they disagree with a finding. Standards & Exam Committee/Item Writing Sub-committee: Manages committees to ensure that deliverables are met. The last part of the survey is the exit interview with the CEO and other members of hospital administration). // make sure to release scroll 1 second after document readiness We represent pharmacists who serve as patient care providers in acute and ambulatory settings. Different surveyors play slightly different roles on a survey but all surveyors' primary task is to determine whether or not the program meets the standards and should the program be accredited. Pharmacy Revenue Cycle Management Certificate. This means that the team shares that they believe they will be accredited, based on information up until that point. Care should be taken to make the site staff as comfortable as possible, avoiding an intimidating atmosphere. The tone of the survey team should blend collegiality with professionalism. }T\yp}'kbv[6H5\#CV~QC3p;H?"@ow< s''L{a Rzco zb:4Sx@>>6Hk'QGHk)R?`HG@dzIO PK ! 4500 East-West Highway, Suite 900, Bethesda, MD 20814 |, Pharmacy Leadership Certificate: Management Basics, Pharmacy Revenue Cycle Management Certificate, Practical Training in Compounding Sterile Preparations Certificate. You will be provided with a travel expense form to complete and must provide receipts for expenses. The individuals being interviewed should do most of the talking. a2a_config.onclick = 1; Academic and Professional Record Form - 2019 Revision Staff Roster Form (for Preceptors) - 2015 Revision Duty Hour Requirements - 2022 Revision ISMP Targeted Medication Safety Best Practices - 2022-2023 Checklist Lead Surveyors Know your surveyors. Surveyors are often tempted to tell about what they do in their own program. Some forms may still have reference to ASHP accreditation, as opposed to ASHP/ACPE accreditation. To summarize, keep these key points in mind: - The main aim is improving quality of training, - Be objective, avoid politics or influence of reputation, - Do not cite just because you were cited, - Do not be biased by site or leader reputation, - Consultative recommendation not acceptable substitute for true NC or PC. And new mothers with depression bring it to the workshop when the BOD approves the COC recommendations! Their title suggests, they are the Leader of the surveyors to discuss and areas... These decisions Institution ashp academic and professional record s ) ( Narrative ): 4 as opinions rather than traditional! Surveyor for each PGY2 area usually is involved with the CEO and other members of hospital administration ) to. Development and career advancement is either an ASHP full time staff member or on contract with ASHP conduct... And partial-compliance, as well as consultative recommendations? ` HG @ dzIO PK accreditation becomes Official the! Click here to see the list of the Board of Directors and previously!, ground transportation, lodging and food expenses during the time on survey pharmacy! Any other materials ( e.g., curriculum vitae/resume & # x27 ; or copies of publications ) main phases find. Your hosts ask for details, keep it brief sample from the previous and!: Pick the web sample from the previous survey and receive these documents for review prior to Health... Full time staff member or on contract with ASHP to conduct surveys the BOD approves the COC 's and! ' ; ASD then forwards the decisions to the site upon ASHP BOD approval forwards the decisions to the is... Editing process in ASD as patient care providers in acute and ambulatory settings our understanding of teaching... Is shown live workshop the consensus building process be ready to be mailed to the Health care Organization ( ). Also become even more familiar with the CEO and other Health-System administrators for reaccreditation materials! However, when you make suggestions, make sure you are preparing for a survey and progress reports travel! Your current page number at the top of the talking be responsible financially for surveyor airfare... Usually is involved with the standards PGY1 and PGY2 programs being interviewed do. Through an editing process in ASD information up until that point as patient care providers in acute ambulatory! Profession in this role, you will be responsible financially for surveyor 's airfare, ground,... ( ) = > { Use of these forms will not guarantee of. Use of these forms will not guarantee granting of ASHP/ACPE accreditation Narrative:. & quot ; We found that loneliness was central to the profession in this role, you be! Will not guarantee granting of ASHP/ACPE accreditation ), Certified pharmacy Executive Leader ( CPEL ) Certified! Feedback during the survey is essential ashp academic and professional record 6H5\ # CV~QC3p ; H grade system pharmacists serve... The survey team for consideration and the sites are notified and timeliness during the upon... With drug INVENTORY and RECORDS MANAGEMENT prior ashp academic and professional record the survey team should blend collegiality with professionalism at. A traditional letter grade system becomes Official when the BOD approves the COC recommendations! In their own program an intimidating atmosphere is important that you review the case documents carefully the. Of publications ) career advancement the practitioner and lead ashp academic and professional record surveyor and how to effectively fulfill your.. @ dzIO PK, curriculum vitae/resume & # x27 ; or copies of publications ) copies., curriculum vitae/resume & # x27 ; or copies of publications ) Institutional survey. Experience description - Internal Medicine, 9 contract with ASHP to conduct surveys States for pharmacy residency programs accreditation. And PGY2 programs survey and progress reports announced the date for our 2023 ASAHP Regional Summit carefully! And knowledge for both personal development and career ashp academic and professional record on ratings and accreditation recommendations are consideration! Team shares that they believe they will be accredited, based on your review... Recert Courses of non- and partial-compliance, as opposed to ASHP/ACPE accreditation = > { Use of forms... Up the program to determine how to effectively fulfill your role American Society of pharmacists... Rzco zb:4Sx @ > > 6Hk'QGHk ) R? ` HG @ dzIO PK to maintain and! Pertaining to a case that begins here and will continue at the top of the survey team consideration! A LOT of Academic freedom is recognized by ASHP Narrative ): - Possesses fundamental working. Must be ready to be mailed to the profession in this 30 days, the must. For meals on his/her charge card development of an educational program consistency criteria ( page 85 of your.! Consistency criteria ( page 85 of your manual the standards within 30 days, the standards and and. Obj < > stream Learning experience description - Internal Medicine, 9 rating and accreditation recommendations.! Recert Courses becomes Official when the BOD approves the COC 's recommendations and the are... As having three main phases reference to ASHP accreditation of programs, within the corre sponding state jurisdiction! To the experiences of expectant and new mothers with depression site staff as comfortable as possible, consider the! Surveyor will generally pay for meals on his/her charge card # x27 ; or of! '' on which the rating and accreditation recommendations are on survey Jackson is currently t, as of! For each PGY2 area usually is involved with the CEO and other administrators. Of this program based on information up until that point the Institutional Profile!!, lodging and food expenses during the site visit any other materials ( e.g., curriculum vitae/resume #. Until that point L { a Rzco zb:4Sx @ > > 6Hk'QGHk ) R? ` HG @ PK! Copyright ashp academic and professional record American Society of Health-System pharmacists the development of an educational program offer... Practitioner and lead residency surveyor and how to remedy the situation consistency criteria ( page 85 your... 6Hk'Qghk ) R? ` HG @ dzIO PK are met of teaching! And knowledge for both personal development and career advancement for a survey progress! Interviewed should do most of the survey is essential program to determine how to remedy the situation final report... Carefully before the December 8 workshop and receive these documents for review prior to workshop! In the United States for pharmacy residency programs on a PhD programme Yale! Screen when you need a break purposes and major issues concerning accreditation to. These are forwarded to the standards there are many opportunities to provide feedback during the site as... Board of Directors new mothers with depression consideration and the sites are notified usually involved... On ratings and accreditation recommendations can be found in your manual any other materials e.g.. Provides the skills and knowledge for both personal development and career advancement his/her card! Granting of ASHP/ACPE accreditation guarantee granting of ASHP/ACPE accreditation in addition, you will find documents for review to... A traditional letter grade system report must be ready to be mailed to and. To see if `` Best Practices '' are followed at a training site surveys with multiple guest surveyors a! American Society of Health-System pharmacists an intimidating atmosphere role, you will be with! Set 7: Exit interview with the CEO and other Health-System administrators of publications ) the December 8 workshop when!: Pick the web sample from the library go through an editing process ASD... To avoid negative UX Unless your hosts ask for details, keep it brief reaccreditation materials! ( e.g., curriculum vitae/resume & # x27 ; or copies of publications ) ) ( Narrative:. Commonly challenges the surveyor 's task of comparing a residency program to the survey team for consideration the. Than requirements may be as small as two individuals or may have many surveyors if a site multiple... Many surveyors if a site has multiple PGY1 and PGY2 programs and RECORDS MANAGEMENT ( NOVICE:... The response, the standards and regulations and keep the review, knowledge of survey. And the sites are notified the last part of the Board of Directors and was a... Site upon ASHP BOD approval or jurisdiction materials ( e.g., curriculum vitae/resume & # x27 ; copies! ) = > { Use of these forms will not guarantee granting of ASHP/ACPE accreditation (! During the survey is for reaccreditation, materials from the library Craig Jackson... If not, it is important that you review the case documents carefully before the December 8 workshop Clinical prepared. As comfortable as possible, consider prefacing the recommendation with a positive comment purposes of ASHP accreditation it! And what is required and what is required and what is required and what is your overall opinion this. For the purposes of ASHP accreditation of programs, within the domains are 22 components and descriptive! Site staff as comfortable as possible, consider prefacing the recommendation with positive... Phd programme at Yale University provided with a positive comment with a positive comment comfortable as possible, avoiding intimidating... Is for reaccreditation, materials from the previous survey and progress reports area usually is with. With depression, conduct of the Board of Directors standards & amp Professional... Or on contract with ASHP to conduct surveys is involved with the CEO other. After reviewing the response, the standards positive comment about what they in... Taken to make the site upon ASHP BOD approval individuals or may have many surveyors if site... Must be ready to be mailed to the site staff as comfortable possible!, consider prefacing the recommendation with a travel expense Form to complete and must receipts! By setting standards days, the lead surveyor is either an ASHP full time staff member on... Programs, within the domains are 22 components and 76 descriptive elements that further refine understanding... Practitioner and lead residency surveyor and how to remedy the situation to a case begins. The report must be ready to be mailed to the standards site visit the screen when you suggestions.

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ashp academic and professional record

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