The VAMHCS PGY2 Ambulatory Care Pharmacy is accredited by the American Society of Health-System Pharmacists (ASHP) and is committed to the following general purpose:
Postgraduate Year 2 (PGY2) pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and Postgraduate Year 1 (PGY1) pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).
Program Description
The VAMHCS 52-week ASHP-accredited PGY2 Ambulatory Care Residency is designed to develop proficient ambulatory care practitioners with excellent practice skills and leadership abilities to establish new ambulatory care pharmacy programs.
The resident will be accountable for achieving optimal drug therapy outcomes as members of the health care team. They will exercise proficiency in communication and in educating other healthcare professionals, trainees, and patients on drug-related topics. The resident will develop teaching skills by participating in teaching opportunities with affiliated Schools of Pharmacy. Leadership skills will be enhanced through pharmacy administration and research experiences. Residents will demonstrate professional maturity by following the VAMHCS pharmacy mission, monitoring their own performance, and exhibiting commitment to the profession.
The resident will work closely with clinical pharmacy practitioners (CPPs) with an advanced scope of practice as well as other practitioners in ambulatory care clinics. A major emphasis of the residency is providing direct patient care with supervision from respective preceptors. Resident responsibilities on rotation include but are not limited to the following: obtaining a pertinent patient history, performing an accurate focused physical exam, assessing pharmacotherapeutic issues and implementing an appropriate pharmacotherapy plan, ordering labs, electronic documentation of progress notes, and providing accurate drug information to patients and other health care providers.
Required Learning Experiences:
- PGY2 Orientation
- PGY2 Patient Aligned Care Team (PACT) learning experiences include:
- PGY2 PACT Pharm Longitudinal
- PGY2 PACT Pharm (various locations such as Baltimore, Perry Point, Eastern Baltimore County, Glenn Burnie, Fort Meade, Cambridge, Pocomoke, Loch Raven)
- PGY2 Anticoagulation Clinic
- PGY2 Diabetes Clinic
- PGY2 Cardiology Clinic
- PGY2 Women’s Health
- PGY2 Hepatitis C E-Consults/Clinic
- PGY2 Population Health Management
- PGY2 PACT Practice Assessment and Health Analytics
- PGY2 Clinical Pharmacy Administration
- Other: PGY2 Ambulatory Care Research/Project, PGY2 Journal Club, PGY2 Case, PGY2 Pharmacotherapy Rounds
*Elective Learning Experiences:
- PGY2 Pain Clinic
- PGY2 Antimicrobial Stewardship
- PGY2 Lipid Cardiovascular Risk Reduction Clinic
- PGY2 Home Based Primary Care (HBPC)
- PGY2 Rheum Gout Clinic
- PGY2 Academic Detailing
- VISN 5 Clinical Resource Hub (CRH) learning experiences include:
- PGY2 VISN 5 CRH PACT
- PGY2 VISN 5 CRH Pain
- PGY2 VISN 5 CRH Mental Health
- PGY2 VISN 5 CRH Diabetes Clinic
- *Other learning experiences may be developed based on resident interest and preceptor availability
Program Structure
The PGY2 Ambulatory Care program is composed of an orientation period (2-4 weeks) and four separate blocks (~12 weeks each). Residents are scheduled to 5 to 6 half-day clinics/experiences per week with the remaining time available to fulfill other administrative residency responsibilities including research. The schedule will be developed on an annual basis based on the resident’s prior experiences and interests, progress at quarterly meetings, and preceptor availability. Block 1 typically focuses on primary care (PACT) and core ambulatory care learning experiences, while Block 4 consists mostly of specialty practices with at least one PACT clinic for continuity of care.
Evaluation
A Residency Development Plan (RDP) for each resident will be formulated upon entry into the program. Updates and changes will be addressed quarterly by the Residency Program Director and/or Program Coordinator. Following the ASHP Accreditation Standard for PGY2 Pharmacy Residencies, this program includes the required ASHP Competency Areas, Goals, and Objectives for PGY2 Ambulatory Care Pharmacy. Resident performance on each learning experience will be documented electronically in PharmAcademicTM.
VA Employee Requirements
- U.S. citizenship
- Pre-employment background/security investigation
- Pre-employment physical exam and drug testing
- Doctor of Pharmacy degree (or equivalent)
- Full, current, and unrestricted license to practice pharmacy in a State, Territory, or Commonwealth of the U.S. or District of Columbia
- Completion of an ASHP-accredited PGY1 pharmacy residency
Benefits
- PGY2 Residency salary: $59,289
- 11 paid Federal holidays, 13 accrued vacation and 13 accrued sick days, and paid leave to attend approved professional meetings
- Vacation and sick leave accrued at a rate of 4 hours per two-week pay period
- Health benefits are available at standard government contribution rates
- Dual appointment may be available for additional reimbursement
Application Process
- Applications will be accepted through PhORCAS (Pharmacy Online Residency Centralized Application Service) ONLY. PhORCAS application must include: letter of intent stating career goals, curriculum vitae, three letters of reference (If PGY2, one required by the PGY 1 residency director), and official pharmacy school transcripts. Application for PGY2 Ambulatory Care is November 7, 2024 for VA National Early Commitment (VANEC) and January 3, 2025 via ASHP National Match.
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