PGY2 Ambulatory Care

This residency program trains pharmacists to develop and deliver patient-centered comprehensive medication management in collaboration with multidisciplinary healthcare teams in primary care and specialty practice settings. Residents will also have exposure to ambulatory care administration and population health management enabling graduates with versatility to enter into numerous ambulatory care pharmacist career paths.

The PGY2 year consists of a series of learning experiences that span a 52-week period.  Specific learning experiences and goals will be accomplished in discrete blocks of time, while others will occur longitudinally throughout the duration of the residency. Residency time will be generally structured as follows:

Residency Duration  52 weeks
Orientation/Training
2 weeks 
Attendance at conference(s) 
1 week
Interviews/Holidays/Time Off
14 days plus 3 interview days
(not a contiguous block)
Project Days
1 week 
(not a contiguous block)
Residency Learning Experiences 
46 weeks 

Required Learning Experiences:

1. Primary Care Center I – Internal Medicine Resident Clinic 4 weeks
2. Primary Care Center II – Primary Care Resident Clinic 4 weeks
3. Ambulatory Care Infusion 2 weeks
4. Specialty Pharmacy 2 weeks
5. Ambulatory Care Administration Longitudinal
6. Accountable Care Organization Practice Longitudinal
7. Heart and Vascular Transitional Care Clinic Longitudinal
8. Infectious Disease Clinic Longitudinal
9. Solid Organ Transplant Clinic Longitudinal
10. Winchester Chest Pulmonary Clinic Longitudinal

Elective Learning Experiences:

  1. Multidisciplinary Cystic Fibrosis Clinic
  2. Health System Administration
  3. Other/repeat (with residency director approval)

Longitudinal Experiences:

  1. Residency project(s): 
    • Submit research project for national or regional meeting and publication to a pharmacy or medical journal
  2. Education and opportunities to precept:
    • Teaching Certificate Program
    • Nursing and Physician In-services
    • Continuing Education Presentations
    • Peer-Reviewed Journal Publications
    • Precepting of PharmD students
    • Journal Club Presentations
    • Didactic Lecture
  3. Staffing:*
    • Two shifts every third weekend
    • Off-hours clinic pharmacist InBasket coverage (scheduled to be determined)
  4. Administrative reports/responsibilities:
    • Supervise PGY1 residents and pharmacy students
 
*Any shift including night shift may be filled at discretion of residency director.

PGY2 Ambulatory Care Requirements for Successful Graduation

  1. Educational checklist complete
    1. Pharmacy Grand Rounds
    2. Clinical Case Conference
    3. Nursing or clinic staff in-services (2)
    4. Physician or pharmacist in-service or newsletter article (2)
    5. Community Service (4)
    6. Ambulatory protocol (workflow, scope of practice, collaborative practice agreement, or clinical practice protocol)
    7. Ambulatory service business plan
    8. Cost-management project
    9. Manuscript (see below)
    10. Submit research project for presentation at national or regional meeting
  2. Portfolio complete (Completed documents for each checklist item uploaded to resident portfolio)
  3. Cost management and longitudinal project completed 
  4. Achieved at least 80% of ASHP residency objectives and 100% of objectives for Competency R1 Patient Care  (Preceptor marked as "achieved" on at least two occasions or other documentation demonstrating achievement of the objective as evaluated by the RPC/RPD)
  5. Manuscript suitable for publication (Complete manuscript incorporating at least two rounds of preceptor feedback)
  6. Compliant with all pharmacist mandatory requirements (e.g. current pharmacist license in good standing on file, completion of all mandatory training) 

The learning experiences will include a series of learning activities designed to expose the resident to many facets of pharmacy practice with guidance from the preceptor.  An individual resident plan and calendar will be developed for each resident.

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