Post Graduate Year Two (PGY2) Residency Program | Ambulatory Care & Academia

Purpose Mission Clinical Practice Teaching
Scholarship Service Leadership Development Learning Experiences
Example Monthly Schedule Preceptors Residents Benefits
How to Apply About PUSOP About VGMHC Living in Oregon

Purpose

Upon successful completion of the PGY2 in Ambulatory Care & Academia residency at Pacific University School of Pharmacy and Virginia Garcia Memorial Health Center, graduates will be prepared to:

  1. Provide ambulatory care services to underserved individuals in a federally qualified health care setting, and
  2. Serve in a clinical faculty position that involves pharmacy practice, classroom and experiential educational responsibilities, active scholarship, and school service.

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Mission

Our mission is to train pharmacists to provide collaborative, evidence-based ambulatory care and to share their clinical expertise through effective patient, student and practitioner education.

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Clinical Practice

Residents will practice three days per week within one of the five primary care clinics of Virginia Garcia Memorial Health Center. Through direct patient care visits and practice under collaborative drug therapy management agreements, the residents will develop and refine their skills managing chronic medical conditions, assessing and triaging acute medical concerns and fostering comprehensive and coordinated patient care. Additionally, they will hone skills in pharmacy practice management vital to any ambulatory care practitioner.

Current collaborative drug therapy management (CDTM) protocols include:

  • Type 2 diabetes
  • Hypertension
  • Cardiovascular risk reduction
  • Asthma / COPD
  • Smoking cessation
  • Anxiety
  • Depression
  • Psychiatric medication monitoring
  • Transitions of care
  • Latent TB

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Teaching

PGY-2 residents are included in all components of the tripartite mission of academic life: teaching, scholarship and service. Residents hold a post-graduate instructor position and are considered full faculty members by Pacific University. They learn to employ teaching methods for various settings including one-on-one precepting, small group facilitation, and large class didactic as well as learners that span first year pharmacy students through PGY-1 residents. Additionally, residents hone their teamwork and project assessment skills through serving on a school of pharmacy committee. Regularly scheduled small group discussions also serve as a venue for residents to talk through teaching related challenges with preceptors.

Teaching activities

  • Lectures: each resident provides ~8-12 hours of in-person lecture (this estimate does not include time devoted to in-class activities and large group facilitation)
    • Pharmacy practice lab
      • SOAP note writing
      • Drug information written response
    • Endocrine
      • DM pathophysiology, diagnosis, and complications
      • DM lifestyle recommendations and self-care
      • Management of DM complications and co-morbid conditions
      • Osteoporosis
    • Immunology and dermatology
      • Allergic rhinitis and conjunctivitis
      • Gout
      • Dermatitis
      • Acne
      • Scabies and lice
        Skin structure and first aid
  • Small group facilitation
    • Residents serve independently as faculty preceptors for all four, on-campus, pharmacy skills labs
      • Pharmacy Practice 1: Community pharmacy
      • Pharmacy Practice 2: Community pharmacy
      • Pharmacy Practice 3: Ambulatory care
      • Pharmacy Practice 4: Acute / inpatient care

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Scholarship

Dissemination of knowledge through peer-reviewed methods is a critical component of both clinical practice and academia. Residents are required to complete one major project focusing on the implementation or assessment of a clinical service within the VGMHC system. Data gathered from the project will be presented via an ASHP Midyear Meeting poster, a platform presentation through Oregon Society of Health System Pharmacists (OSHP), and a written manuscript. Residents are also given the opportunity to partner with SOP faculty members to complete various academia-focused projects. These opportunities may culminate in an American Association of Colleges of Pharmacy (AACP) poster, presentation, and/or manuscript.

Previous resident projects

  • Medicare annual wellness visits as a method to promote referrals for disease state management by clinical pharmacists
  • Evaluation of a medication therapy management service program within a primary care medical home
  • Impact of language preference on diabetes outcomes for patients referred to clinical pharmacy services
  • Assessment of the effect of depression severity and diabetes control

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Service

Residents provide service to the School via several activities:

  • Full membership (include voting privileges) on one of the following School of Pharmacy committees: admissions, assessment, or curriculum
  • Participation in student admissions interview days
  • Precepting of student-lead community outreach events (ex. health fairs, brown bags)
  • Participation in PGY-2 candidate recruitment, interview, and ranking

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Leadership Development

Leadership is a vital skill for all pharmacists entering both clinical practice and academic pharmacy.

Residents will have countless opportunities to hone their leadership skills throughout their year with us.

Outside of typical precepting responsibilities, committee work, and business plan development, residents will have the opportunity to discuss aspects of leadership and professional development through small group discussions with our clinical pharmacists and school faculty.

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Learning Experiences

For the PGY2 residents, the percent of time spent on clinical vs. teaching responsibilities mirrors that of PUSOP’s co-faculty positions. Emphasis is placed on longitudinal clinical experiences in order to allow for continuity of care of VGHMC patients and a consistent pharmacy presence for VGMHC providers. However, residents are offered an opportunity to complete two 2-week long or one 4-week long focused rotation during the last month of their residency year (see table below).

Core learning experiences

  • Orientation
  • Longitudinal primary care ambulatory clinic experience
  • Longitudinal small group facilitation teaching
  • Didactic teaching in the block curriculum (~6 hrs each semester)
  • Scholarship(1 medication use evaluation, 1 longitudinal clinic-based project)
  • Academic administration
  • Practice management & professional development (VGRC)
  • Mental health
  • Pulmonary

Elective learning experiences

  • Anticoagulation
  • Rural / global health (in development)

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Example Monthly Schedule

WK1 Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM Clinic PP1 Mental Health Campus Clinic Free Free
PM Clinic Campus Clinic Campus Clinic Free Free
WK2 Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM Elective Campus Elective Campus Clinic Admissions Free
PM Clinic PP3 Clinic Citywide Clinic Admissions Free
WK3 Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM Elective PP1 Elective A Admin Clinic Free Free
PM Clinic Campus CPS Team Meeting (VGRC) Campus Clinic Free Free
WK4 Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM Elective Campus Elective Campus Clinic SE Free
PM Clinic PP3 Clinic Campus Clinic SE Free

Legend

  • A Admin = Academic administration meetings
  • Campus = Time on campus for faculty meetings and project, lecture, assignment completion
  • Citywide = Monthly, local residency conference
  • Clinic =  VG Hillsboro or VG Cornelius
  • CPS = Clinical Pharmacy Service Meeting
  • Elective = Mental health (with Bridget Bradley @ Hillsboro) and Pulmonary Disease (with Jennifer Erickson @ Cornelius); each longitudinal elective lasts 4 months each (Aug – Nov; Feb – May)
  • PP1/PP2/PP3/PP4 = Pharmacy practice skills course
  • PURC = Pacific University Residency Conference (small group discussion on academic topics, teaching practice/feedback)
  • SE = Student event (i.e. precepting student-run health fairs)
  • VGRC = Virginia Garcia Residency Conference (small group discussion ambulatory care topic discussions, business plan development, professional development)

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Preceptors

Residency Program Director

Edward M. Saito, PharmD, BCACP

Residency Program Coordinator

Brandon Nuziale, PharmD, BCACP

Clinical--Primary Ambulatory Care

Hillsboro Clinic

Katie Steele, PharmD, BCACP, Lead Preceptor

Brandon Nuziale, PharmD, BCACP

Cornelius Clinic

Edward Saito, PharmD, BCACP, Lead Preceptor

John Begert, PharmD

Mental Health Clinical Experience

Bridget Bradley, PharmD, BCPP

Teaching

John Begert, PharmD

Brandon Nuziale, PharmD, BCACP

Scholarship

Brigg Turner, PharmD, BCPS, AQ-ID

Bridget Bradley, PharmD, BCPP

Academic Administration

Melanie Petilla Foeppel, PharmD, BCACP

Pauline Low, PharmD

Ian Doyle, PharmD, BCPS

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Residents

2019

Trevor Laursen, PharmD

Jessica Merlo, PharmD

2018

Sharon Wu, PharmD (Full time clinical faculty)

2017

Joselyn Benabe, PharmD, BCACP (ambulatory care pharmacist)

Katie Steele, PharmD, BCACP (ambulatory care pharmacist, PGY-1 residency director)

2016

Christopher Foley, PharmD, BCACP (ambulatory care pharmacist)

Brandon Nuziale, PharmD, BCACP (full-time clinical faculty, PGY-2 residency program coordinator)

2015

John Begert, PharmD (full-time clinical faculty)

Muhammad Qudoos, PharmD (ambulatory care pharmacist)

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Benefits

Salary

$49,000 plus $3,000 for faculty development at professional meetings

Insurance

Eligible for medical and dental coverage, as well as other benefits offered to Pacific University employees including life insurance and retirement savings

Non-contract time

10 days of paid non-contract time (NCT)

8 paid holidays: July 4th, Labor Day, Thanksgiving and the Friday after, Christmas, New Years, MLK Day, and Memorial Day

Perks

  • Private, on-campus office space (shared with co-resident)
  • School-issued laptop with docking station
  • Free campus parking in addition to easy light rail transportation access
  • Eligible for public transportation employee discount benefits
  • Access to the all School of Pharmacy library resources and faculty development
  • Campus is in close proximity to clinical practice sites
  • Due to non-profit status, may apply for federal loan forgiveness program

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How to Apply

Applications are submitted via the Pharmacy Online Residency Centralized Application Service (PhORCAS). Please visit PhORCAS for application instructions and frequently asked questions.

Completed applications are due by Friday, January 4th though applicants are encouraged to apply as early as possible to allow for the Residency Advisory Committee adequate time to review all submitted materials. We ask that candidates submit three standardized PhORCAS references. A formal letter of reference is not required; however, we do ask that reference writers to provide as much detail as possible in the standardized form. Candidates are also required to complete the supplemental essay (see directions below).

When answering both questions, please do not exceed a total length of 1 page (single-sided, single-spaced). Please upload this document to PhORCAS along with your CV, letter of intent, and 3 references forms.

  1. Describe your desire to work as a clinical pharmacy provider with an underserved patient population and/or within a community health center.
  2. Describe your desire to teach (classroom or experiential) through discussion of past teaching experiences. Explain how these experiences have shaped your future career goals.

Applicants will be notified of interview selection by mid-late January. Interview days will likely be Mondays, Thursdays, or Fridays from late January to February.

Program match number

698665

Number of positions

Two

Requirements

Doctor of Pharmacy degree

Eligible for Oregon State licensure

Completion of ASHP accredited PGY1 Pharmacy Residency or PGY1 exempt per ASHP standards

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About Pacific University School of Pharmacy

Pacific University School of Pharmacy (PUSOP) offers a three-year Doctor of Pharmacy program and is fully accredited by ACPE. The School is located in Hillsboro, Oregon and is housed in the state-of-the-art Health Professions Campus along with seven other programs.

http://www.pacificu.edu/future-graduate-professional/colleges/college-health-professions/school-pharmacy

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About Virginia Garcia Memorial Health Center

In 1975, beautiful six-year old Virginia Garcia and her farmworker parents traveled from their home in Mission, Texas to California and Oregon to work in the fields. Along the way, Virginia cut her foot, and by the time they reached Oregon, it had become infected. Due to economic, language and cultural barriers to health care, Virginia died from what should have been an easily treatable wound.

Moved to action by Virginia’s unnecessary death, the community quickly rallied together to open the first Virginia Garcia Memorial Health Center in a three-car garage, determined to prevent similar tragedies from occurring.

Today, Virginia Garcia provides healthcare services to more than 42,000 patients a year in Washington and Yamhill Counties at five primary care clinics and pharmacies, five dental offices, and six school-based health centers. They also provide outreach to schools, community health fairs and to migrant and seasonal farmworkers at local camps and commercial nurseries through Virginia Garcia’s mobile clinic.

http://virginiagarcia.org/

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Living in Oregon

Location

  • Hillsboro is ~20 miles from the downtown Portland
  • Easy day trips to the Oregon Coast and Mount Hood
  • Close-in weekend trips to Seattle, Bend, Vancouver, Canada

http://traveloregon.com/