Pharmacy residency program PGY2 Ambulatory Care Curriculum

• Meet all ASHP PGY2 Ambulatory Care Residency Requirements including achieving at least 24 of the required goals and objectives (Achieved for Residency – ACHR).  A resident may be permitted to graduate with up to 4 other objectives (not in R1.1) in a status of satisfactory progress as long as they are not major issues and in the judgement of the preceptors and residency program director, continued progress to the level expected of the objectives can occur as the resident continues to gain experience.  A residency will not graduate with Needs Improvement for any ASHP Residency goals and objectives.
• Satisfactory Completion of 12 months of residency-related learning experiences.
• Perform the duties and responsibilities in the pharmacy practice areas of:  clinical practice, education, program management, administrative activities and projects as defined in the job description/function statement in the Residency Manual.
• Completion of a residency practice-related project:
  • Associated draft manuscript submitted in AJHP format to the RPD by assigned deadline.
  • Present practice-related project results at CAVHS Pharmacy Residency Conference.
  • Demonstrate appropriate storage of all practice-related project data and documents in a secure file location.
  • Closure of practice-related project with the IRB and VA Research and Development Committee and completion of research audit (if applicable).
• Completion of UAMS Teaching Certificate Program (not required if a teaching certificate program was completed during PGY1 program).
• Facilitation of one semester of Therapeutics Recitation or Supplemental Instruction at UAMS College of Pharmacy.
• Presentations will include at least two Grand Rounds presentation, Pharmacy Residency Conference presentation, and journal clubs.
• Staffing requirements:
  • Each resident will be required to practice as a pharmacist in a designated pharmacy operations area throughout the residency year.
  • Residents will be assigned to a pharmacy operations area (inpatient or outpatient pharmacy) based on the current needs of pharmacy service.
  • PGY2 residents will be scheduled for pharmacy operations staffing every 3 to 4 weekends and on two minor Federal holidays during the year.  This may be less often based on the current needs of pharmacy service.
  • PGY2 residents will be given priority for dual-appointment pay when funding is available.  Dual-appointment provides pharmacist level pay for staffing and is obtained through an application process.
  • Tracking of PGY2 Ambulatory Care Appendix Disease States.
  • Compliance with all institutional and departmental policies.
  • The resident will explain signs and symptoms, epidemiology, risk factors, pathogenesis, natural history of disease, pathophysiology, clinical course, etiology, and treatment of diseases and conditions in areas listed below. The resident will also have experience managing patients in these areas.
• The resident will explain the mechanism of action, pharmacokinetics, pharmacodynamics, pharmacogenomics, pharmacoeconomics, usual regimen (dose, schedule, form, route, and method of administration), indications, contraindications, interactions, adverse reactions, and therapeutics of medications and non-traditional therapies, where relevant, that are applicable to diseases and conditions in the areas listed below.
• The resident will explain various forms of non-medication therapy, including life-style modification and the use of devices for disease prevention and treatment, for diseases and conditions in the areas listed below.
• From the list of 15 areas below, residents are required to have direct patient care experience in at least eight areas. When direct patient care is not possible, up to two of these eight areas may be covered by case-based application through didactic discussion, reading assignments, case presentations, and/or written assignments.
  • Cardiology
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • Geriatrics
  • Hematology – Oncology
  • Infectious diseases
  • Men’s health
  • Nephrology
  • Neurology
  • Pediatrics
  • Psychiatry
  • Pulmonology
  • Rheumatology
  • Women’s health

• Introduction/Orientation (First 2 weeks)
• Patient Aligned Care Team (PACT) Primary Care I (1 month)
• PACT Primary Care II (1 month)
• PACT Primary Care with emphasis in Geriatrics (1 month)
• Anticoagulation Care Clinic (6 weeks)
• Home Based Primary Care (1 month)
• Administration (December – 1 month)
• Longitudinal Learning Experiences:
  • Recitation (one semester)
  • Ambulatory Care Clinic – year long (2 days every month)

Electives may be arranged from well-established pharmaceutical care areas or developed for unconventional areas.  The selection of elective rotations should be based on the resident’s interest area and previous experiences and is also subject to approval by the RPD.

• Academia (one month)
• Anticoagulation (year-long longitudinal)
• Heart Failure (one month and/or year-long longitudinal)
• Diabetes and Endocrinology (one month)
• Emergency Medicine (one month)
• Infectious Disease/Antimicrobial Stewardship/Hepatitis C (one month)
• Mental Health (one month)
• Primary Care Behavioral Health (one month)
• Pain (one month)
• Primary Care with emphasis on Women’s Health (one month)