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. Develop and provide culturally-appropriate ambulatory care services via collaborative practice agreements, with a focus on underserved populations.
  2. Serve in a clinical faculty position that involves pharmacy practice, classroom and experiential educational responsibilities, active scholarship, and school service.
ASHP PGY2 Purpose Statement

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

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Mission

Our mission is to train pharmacists to provide patient-centered, evidence-based, collaborative 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 that comprise Virginia Garcia Memorial Health Center. Through direct patient care visits and under collaborative practice agreements, the residents will develop and refine their skills in chronic disease state management, assessment and triage of acute medical concerns, and comprehensive and coordinated patient care. Additionally, they will hone skills in leadership and pharmacy practice management vital to any ambulatory care practitioner.

Current collaborative practice agreements include:

  • Type 1 & 2 diabetes
  • Hypertension
  • Cardiovascular risk reduction
  • Asthma / COPD
  • Tobacco cessation
  • Anxiety
  • Depression
  • Psychiatric medication monitoring
  • Latent TB infection

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Teaching

PGY2 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, and have interactions with learners ranging from first-year pharmacy students to PGY1 residents. Additionally, residents learn to enhance their teamwork and project management skills through serving on a school of pharmacy committee.  Examples of committee service include the Curriculum Committee, Admissions Committee, and Assessment Committee. Regularly scheduled small group discussions with preceptors serve as a venue for residents to reflect on teaching-related challenges and learn new methods for effective teaching.

Teaching activities

  • Oregon Pharmacy Teaching Certificate (OPTC)
  • Lectures: Each resident provides 8-12 hours of in-class lecture during the Endocrine, Sexual & Reproductive Health, and Immunology blocks
  • Lecture topics include:
    • Diabetes pathophysiology, diagnosis, and complications
    • Diabetes lifestyle recommendations and self-care
    • Management of diabetes complications and comorbidities
    • Osteoporosis
    • Dermatology (acne, dermatitis, scabies/lice, first aid)
    • Allergic rhinitis and conjunctivitis
    • Gout
  • Pharmacy practice lab with OSCE for skills including SOAP notes, drug information responses, journal club, and physical assessmentA
  • Coordination of APPE student learning community with small-group facilitated topic discussions
  • Evidence-based drug information presentations to pharmacy team and clinic providers

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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 medication use evaluation (MUE) and one major research project over the course of their residency year. Results of the MUE will be submitted for presentation as a poster at the ASHP Midyear Meeting, and research project findings will be presented as a platform presentation at the Northwestern States Residency Conference (NWSRC) and through a written manuscript suitable for publication. Residents are also given the opportunity to partner with school of pharmacy 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
  • Impact of language preference on diabetes outcomes for patients referred to clinical pharmacy services
  • Assessment of the effect of depression severity on diabetes control
  • Patient characteristics that predict engagement with clinical pharmacy services
  • Impact of therapeutic conversion from insulin glargine to insulin detemir on A1c control
  • Retrospective comparison of cephalexin and nitrofurantoin for the treatment of uncomplicated urinary tract infection

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Service

Residents provide service to the school of pharmacy through several activities:

  • Full membership (includes voting privileges) on one of the School of Pharmacy standing committees: Admissions, Assessment, or Curriculum
  • Participation in student admissions interview days
  • Precepting of student-lead community outreach events (e.g. health fairs, Operation Immunization events)
  • Participation in PGY2 candidate recruitment, interviews, and ranking

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Leadership Development

Leadership is a vital skill for all pharmacists entering both clinical practice and academic pharmacy. Through the longitudinal Practice Management and Professional Development learning experience commonly referred to as the Virginia Garcia Residency Conference (VGRC), PGY2 residents will meet monthly with the VGMHC PGY1 residents and various program preceptors to discuss leadership and practice management topics including: sustainable practice models, billing and level of service justification, developing a clinical service, crucial conversations, continuous professional development, developing a precepting philosophy, making important decisions, and continuous quality improvement.  Residents will also team up to develop a longitudinal business plan to support development or expansion of a new or existing clinical service at VGMHC.  The business plan activity culminates in a formal presentation to the VGMHC administrative leadership team which includes the Chief Operating Officer, Chief Financial Officer, Director of Pharmacy, Director of Quality, and Medical Director.

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Learning Experiences

For the PGY2 residents, the percent of effort dedicated to clinical and teaching responsibilities mirrors that of the school’s co-faculty positions (i.e. 50/50%). Emphasis is placed on longitudinal clinical experiences in order to allow for continuity of patient care at VGHMC and to ensure a consistent pharmacy presence for VGMHC providers. However, residents are offered an opportunity to complete up to two focused elective rotations during their residency year.

Core learning experiences

  • Orientation
  • Longitudinal primary care clinic
  • Longitudinal pharmacy practice skills lab teaching
  • Didactic teaching in the block curriculum (6 hrs per semester)
  • Project (Medication Use Evaluation and longitudinal research project)
  • Academic administration
  • Practice management & professional development (VGRC)
  • Diabetes Education & Prevention Program
  • Mental health

Elective learning experiences

  • Advanced pharmacy administration
  • Advanced academic administration
  • Global health
  • Geriatric consulting (in development)
  • Anticoagulation (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 Clinic Campus Clinic Campus Clinic Admissions Free
PM Clinic PP3 Clinic Citywide Clinic Admissions Free
WK3 Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM Clinic 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 Clinic Campus Clinic APPE Hub 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/PP3 = 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

Primary Care Clinic

Newberg Clinic

Katie Steele, PharmD, BCACP, Lead Preceptor

Cornelius Clinic

Edward Saito, PharmD, BCACP, Lead Preceptor

John Begert, PharmD, BCACP

Beaverton Clinic

Elise Phelps, PharmD, BCACP, Lead Preceptor

Brandon Nuziale, PharmD, BCACP

Mental Health Clinical Experience

Bridget Bradley, PharmD, BCPP

Diabetes Education & Prevention Program

Alison Reta, PharmD

Practice Management & Professional Development (VGRC)

Edward Saito, PharmD, BCACP, Lead Preceptor

Katie Steele, PharmD, BCACP, Lead Preceptor

Sarah Deines, PharmD, BCACP

Teaching

John Begert, PharmD, BCACP

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

Sigrid Roberts, PhD

Reza Karimi, PhD, RPh

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Residents

2019

Trevor Laursen, PharmD

Jessica Merlo, PharmD

2018

Sharon Wu, PharmD, BCACP (Full time clinical faculty)

2017

Joselyn Benabe, PharmD, BCACP (ambulatory care pharmacist)

Katie Steele, PharmD, BCACP (ambulatory care pharmacist, PGY-1 residency program 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, BCACP (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 4 January 2019, 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 by October 1st

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.

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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.

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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/