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PGY2 Ambulatory Care Residency

The VA Salt Lake City Healthcare System PGY2 Ambulatory Care Residency Program was started in the 2019-20 academic year. It joined the already strong PGY1 pharmacy practice and PGY2 psychiatric residency programs. The ambulatory care program has been designed, is supported, and was long-anticipated by preceptors who have several years of both practice and residency-precepting experience.

Residents in this program will join a strong primary care work-force where pharmacists are fully integrated and practicing under scopes of practice that allow focus on the full spectrum of chronic disease management needs of patients. 

Program purpose

PGY2 residency programs build upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas. Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available.

Program description

The resident will spend 10 weeks near the beginning of the residency year as a patient aligned care team (PACT) pharmacist for several providers in the centralized primary care clinic. He or she will have the opportunity to follow up with patients seen during this learning experience longitudinally, to provide continuity of care in patient relationships.

While maintaining this longitudinal panel, the resident will move through various ambulatory learning experiences, working with our team pharmacists in multiple clinics including geriatrics, substance use disorder, anticoagulation, gout, heart failure,  renal and women’s health. In each area, emphasis will be placed on facilitating ability to independently see and manage complex patients.

The resident will additionally participate with fellow VASLCHCS residents in a longitudinal leadership certificate program where they will develop and use soft skills in addition to their clinical skills to enable them to work through challenges and promote positive change and growth in future work environments. 

Scope

Our residents will have the opportunity to apply for a scope of practice after demonstrating satisfactory progress on patient care objectives. This will be considered after completion of the resident's first core rotation. Once awarded a scope, residents will have the ability to place, adjust, and discontinue orders in the electronic medical record after staffing with their primary preceptor.

The purpose of awarding residents a scope of practice is to support autonomy and growth, preparing residents for independent practice following completion of the program. Residents will undergo peer review throughout the year, in compliance with the facility's policies and procedures for pharmacists with similar credentialing privileges.

Summary of rotations and requirements

Required (Core) learning experiences

    Patient Aligned Care Team (PACT) Clinical Pharmacist

    The resident will spend 10 weeks of his/her residency year as the Clinical Pharmacy Specialist for several PACT teams in the primary care clinics on VASLCHCS’s main campus. He/she will provide chronic disease management and patient/caregiver education while developing proficiency in working as part of an interprofessional team in a primary care setting.

    During this rotation, the resident will also spend time in gout, renal, and heart failure clinics. The resident will work with patients seen and managed in clinic during this rotation longitudinally, to develop skills in continuity of care.

    Anticoagulation and Thrombosis Service

    The resident will spend four weeks working with a nationally recognized anticoagulation and thrombosis service.  This team approaches anticoagulation management  in unique and interesting ways – having evolved with the needs of this rapidly changing field. 

    CPSs in the service offer consultative services to inpatient and outpatient providers, serve as patient advocates and educators, and  deliver anticoagulation drug therapy management utilizing novel methods, with a focus on  population-based approaches to care.  Patient care during the rotation will focus on the highest risk patients, such as those with LVADS.  This rotation can be tailored to meet specific interests of the resident.

    Geri PACT

    Seven weeks of the residency experience will be spent on the Geriatrics PACT team, gaining experience in managing healthcare in our oldest veterans. The resident will have the opportunity to participate in the Geri-assessment clinic and in daily geriatric clinics.

    Community Based Outpatient Clinic

    The resident will have the opportunity to spend 4 weeks expanding skills learned in the main facility primary care clinics in a setting with fewer resources – in a more “rural” setting –  working at one of our community based outpatient clinics.

    Primary Care Substance Abuse/Primary Care Behavioral Health

    The resident will spend 6 weeks working closely with our most vulnerable veteran population – those suffering from substance abuse, mental health conditions, homelessness, and other difficult ailments. This will be a truly unique opportunity to work with our Vulnerable Veteran Innovative PACT (VIP) team.

    Women’s Health

    Six weeks of the residency experience will be spent working in the women’s health clinic, gaining proficiency in addressing women’s specific health concerns. This rotation will also encompass time in the metabolic and obesity clinic and time working with our transgender population.   

    Longitudinal Experiences

    The resident will participate in formulary management throughout the year, attend leadership seminars with other VASLCHCS residents, perform an outcomes analysis project, participate in the Musculoskeletal Centers of Excellence program with residents from other training disciplines, teach at local pharmacy schools, and participate in an interprofessional didactic case study series with trainees from other professions.

    Possible elective learning experiences

    • Advanced PACT
    • Academic detailing
    • Emergency Department
    • Hematology/Oncology
    • Pain/Palliative Care
    • Physical Medicine and Rehabilitation
    • Rheumatology 
    • Rural Health/Population Health
    • Transitions of care
    • Custom experiences may be developed based on resident interest

    Contacts

    Kelly Eldredge, PharmD, BCACP – VA Salt Lake City PGY2 Ambulatory Care Residency Director
    VA Salt Lake City HCS Pharmacy Administration 119
    500 Foothill Drive, Salt Lake City, UT 84148

    Email: kelly.eldredge@va.gov

    Accreditation status

    Full eight-year accreditation through the American Society of Health Systems Pharmacists (ASHP)

    Application process

    Early commitment from the PGY-1 program into the PGY-2 program is highly encouraged. Open PGY-2 slots are matched through PhORCAS. Application materials must be submitted using PhORCAS (see application deadline in the PhORCAS portal). The Postgraduate Year Two (PGY2) Ambulatory Care Pharmacy Residency NMS Code is 787065. If selected, an on-site interview is required and is usually scheduled for late January or February.


    Note: This residency site agrees that no person at this site will solicit, accept, or use any ranking-related information from any residency applicant.