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Pharmacy PGY2 Ambulatory Care Program

The TVHS ambulatory care pharmacy residency is a second-year specialty residency designed to develop a clinical specialist with expertise in ambulatory care.

Accredited by the American Society of Health-System Pharmacists 

Program Description 

This Ambulatory Care PGY2 pharmacy residency program includes training on providing comprehensive medication management for patients in a variety of pharmacist-managed and interdisciplinary clinic settings within VA Tennessee Valley Healthcare System. Core clinic experiences include month-long rotations in Primary Care Pharmacotherapy Clinic (PACT), Outpatient Anticoagulation, Outpatient Chronic Pain Management, Outpatient Mental Health, Women's Health, Home-Based Primary Care, and Ambulatory Care Pharmacy Administration. Elective experiences include, but are not limited to, Emergency Medicine, Outpatient Cardiology, Preventive Medicine, Stem Cell Transplant, Oncology, Substance Use Disorder, Outpatient Geriatrics, and Neurology. Residents can also choose to repeat a core rotation for an advanced clinical experience as an elective experience. The resident’s training schedule will continually be customized based on evolving resident goals and interests as well as training needs determined by preceptor evaluations, resident self-evaluations, and quarterly evaluations with the Residency Program Director and/or Residency Program Coordinator.  Residents will gain longitudinal experience in managing a primary care pharmacotherapy clinic (PACT) and will also be required to create, develop, and manage a second longitudinal clinic based on an identified need of our facility/pharmacy service and area of resident’s professional interest. The goal for the second clinic is to focus on clinic creation and development in the first quarter of the PGY2 residency year and then progress to management of this clinic over the remaining months. The residency also promotes development and refinement of skills necessary for teaching and training through completion of national/regional CE presentation, precepting pharmacy students and PGY1 residents throughout the PGY2 training year, and presenting monthly journal club to VA TVHS pharmacy service. Management and administration skills are developed through completion of a resident research project, contributing to development of new clinics or programs, and completion of longitudinal ambulatory care pharmacy administration tasks assigned throughout the PGY2 year. By completing this comprehensive advanced training program, the resident is equipped with excellent leadership and practice skills and prepared to practice as a proficient, well-rounded clinical pharmacy specialist in an ambulatory care setting.

Benefits

  • A competitive stipend of $51,974.
  • 11 federal holidays per year.
  • Vacation days and sick leave are both accrued at a rate of 4 hours every two weeks (assuming the resident as < 3 years of federal service)  
  • Health insurance.
  • Dental/Vision insurance.
  • Residents will be permitted to attend at least one clinical meeting during the academic year. This may include ASHP Midyear or the ACCP fall/spring meetings. Attendance to the ACCP annual meeting is highly encouraged. Residents are required to present PGY2 research to regional or national group as approved by PGY2 Residency Advisory Committee. Travel funds are available to offset some of the expenses for these educational meetings.
  • No night/holiday staffing.
  • Dual appointment opportunity: Residents may be offered, but not required, to participate in dual appointment which allows for the pharmacy resident to work 4-hour shifts as a clinical pharmacist in the central pharmacy for GS-12 pharmacist pay. Typical duty hours include evening shifts during the week and weekends but are subject to change based on the needs of the service. During this time, the resident works as a clinical pharmacist and income earned is outside of the salaried residency stipend. As this work is compensated outside of the residency stipend, the resident is expected to complete the duties of a clinical pharmacist working in the central pharmacy and not utilize this time for work related to other residency responsibilities. Residents are typically approved for dual appointment and begin having the ability to acquire shifts in September, but actual date may vary. As a reminder, residents must remain within the requirements of ASHP duty hours.

Rotations and Experiences

Core Experiences

The program is a twelve-month, post-graduate training experience composed of month-long core rotations in:

  • Primary Care Pharmacotherapy Clinic (PACT)
  • Outpatient Anticoagulation
  • Outpatient Chronic Pain Management
  • Women's Health
  • Outpatient Mental Health
  • Ambulatory Care Pharmacy Administration
  • Home-based Primary Care

Longitudinal Experiences

The longitudinal core experiences occur throughout the PGY2 year and are comprised of:

  • Resident Longitudinal Clinic Development
  • Resident Longitudinal Clinic Management
  • Research Project Management
  • Longitudinal Ambulatory Care Pharmacy Administration
  • Academia – Teaching & Learning 

Elective Experiences

With VA TVHS having such a large clinical pharmacy program including 75 clinical pharmacy practitioners, residents are able to individualize their PGY2 year through choosing elective experiences focused on their area of interest at the discretion of the Residency Program Director and the PGY2 Residency Advisory Committee. Residents can choose to repeat a core rotation as an elective for an advanced experience or choose an elective rotation which can include but not limited to

  • Some elective experiences include:
    • Emergency Medicine
    • Outpatient Cardiology
    • Outpatient Geriatrics
    • Stem Cell Transplant
    • Residential Rehabilitation Treatment Program
    • Non-VA Family Medicine Clinic (through academic affiliation agreement with St Thomas Rutherford’s St Louise Clinic and precepted by Jonathan Hughes, PharmD, BCPS, BCACP
    • Preventive Medicine
    • Substance Use Disorder

How to Apply

Application requirements

Applicants must be a U.S. citizen who has completed a Doctor of Pharmacy curriculum from an accredited school of pharmacy and has completed, or in the process of completing, an ASHP-accredited or pending accreditation PGY1 pharmacy residency program.

All applicants must participate in the ASHP Residency Matching Process.

Application Materials Required

  • Letter of intent
  • Curriculum Vitae
  • Official college of pharmacy transcript
  • Three (3) letters of recommendation using standard template in PhORCAS 

Application Deadline

All application materials are due no later than January 10. Qualified applicants will be notified of a formal interview date no later than February 15th. Please use Pharmacy Online Residency Centralized Application Service, PhORCAS, to apply at http://www.ashp.org/phorcas.

Program Number: 648465

Contact

PGY2 Residency Program Director: Rebecca J. Cripps, Pharm.D., BCPS, BCACP at Rebecca.Cripps@va.gov

Current PGY2 Residents: Hannah Holloway at hannah.holloway@va.gov, Lauren Frierdich at lauren.frierdich2@va.gov