PGY-2 Ambulatory Care Pharmacy Residency

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.

The program consists of traditional (4-5 weeks), extended (8-10 weeks) and longitudinal learning experiences. There are 3 main Primary Care experiences which are interspersed throughout the year. Primary Care 1 is typically the first clinical rotation of the year and the last rotation is Independent Practice. Primary Care rotations are sequenced so that the goals and objectives taught and evaluated build on each other (i.e. gathering subjective/objective information, analyzing subjective/objective information, synthesizing assessment and plan and evaluation of implemented therapies, “independent clinic” experience).

Required Core Learning Experiences

• Primary Care 1 – 8 to 10 weeks/2 months
• Primary Care 2 – 8 to 10 weeks/2 months
• Primary Care 3 – 8 to 10 weeks/2 months
• Independent Practice – 4 to 5 weeks/1 month
• Geriatric Clinic – 4 to 5 weeks/1 month
• Ambulatory Administration – 4 to 5 weeks/1 month
• Advanced Lipid Management – ½ day/week; 1st half

Elective Learning Experiences

• Anticoagulation – 4 to 5 weeks/1 month
• Dermatology/Hep C Clinic – 8 to 10 weeks/2 months
• Diabetes Clinic – 8 to 10 weeks/2 months
• Emergency Medicine – 4 to 5 weeks/1 month
• Hematology/Oncology Clinic – 8 to 10 weeks/2 months
• HIV Clinic – 8 to 10 weeks/2 months
• IBD Clinic – 4 to 5 weeks/1 month
• Inpatient Internal Medicine – 4 to 5 weeks/1 month
• Precepting – 4 to 5 weeks/1 month
• Post-ICU Clinic – ½ day twice monthly; 2nd half
• Neurology Clinic – 8 to 10 weeks/2 months
• Specialty Clinic (GI/Rheum) – 8 to 10 weeks/2 months
• Transitions of Care/OPAT – 8 to 10 weeks/2 months

Required Longitudinal Learning Experiences

• Outpatient Staffing – 1st and 3rd Wednesday afternoon
• Research (flipped model) – 2 full days per month
• Two ACPE-accredited CE Clinical seminar; patient case
• Journal Club – 1 monthly
• Medication Use Evaluation 1 for the year
• BCACP topic discussion prep Longitudinal throughout

Research Project

Each PGY-2 resident will be required to complete a research project with a primary focus on ambulatory care-related issues, such as performing a quality improvement initiative or cost-benefit analysis. Our program follows the flipped research model. This means that during the summer the resident is assigned to a protocol that has already been IRB-approved. They begin their residencies in the data-collection phase of research, then proceed into analysis and have finalized results from their projects by December, which allows them to present findings at the ASHP Midyear Conference. During the second half of the residency year, the resident prepares a proposal and seek IRB approval for the next academic year.

Teaching

Grady Health System is affiliated with a variety of academic institutions and pharmacy schools, including Emory Medical School, Morehouse Medical School, The University of Georgia, Mercer University, and South University. As a result, we provide training to numerous pharmacy students as they complete their clinical clerkship rotations (APPEs) within our institution. This exposure provides the resident with many opportunities to develop their preceptor skills. Additionally, we have a robust PGY-1 pharmacy program, for which our residents often serve as both mentors and preceptors. Finally, our affiliations with Emory and Morehouse provide additional opportunities for growth in the areas of inter-professional and continuing education activities.

Residents with an interest in didactics can participate in the Teaching Certificate Program offered through Mercer University College of Pharmacy.

Staffing

The PGY-2 ambulatory care resident will be required to staff for 4 hours bi-weekly in one of the health system retail pharmacies.

General Requirements

1. Doctor of Pharmacy degree from an accredited College of Pharmacy
2. Successful completion of an ASHP accredited or candidate status PGY-1 Pharmacy residency
3. Personal and leadership qualifications for successful completion of a residency program
4. Eligibility for licensure in the state of Georgia

Specific Requirements (to be submitted by January 5)

1. A Letter of Interest  stating why the applicant desires a specialty residency at Grady Health System
2. Current Curriculum Vitae. Include completed and anticipated residency rotations
3. Official pharmacy school transcripts
4. Four (4) references completed on the PhorCAS Recommendation Form
   1. Three recommendations must be from preceptors who taught the resident during a PGY-1 pharmacy residency rotation
   2. One recommendation must be from the residency director.
5. Completed Residency Questionnaire: Please answer the following questionnaire and upload to PhORCAS:
   1. What do you wish to achieve by the conclusion of the residency?
   2. Describe the ideal PGY-2 residency program.
   3. Which clinical rotations in your residency program did you most like and which did you least like? Why?
   4. What would your most recent immediate supervisor say are your strengths and weaknesses?
   5. Describe the most rewarding experience in your residency or pharmacy school.
   6. When will you complete your PGY-1 training?
   7. Will you be eligible to sit for the Georgia practical exam in June? (for those applicants who do not currently have a Georgia pharmacist license)

Applicants invited for an on-site interview during January or February will be required to present a professional presentation on a topic related to clinical pharmacy practice (may present a residency research project if some data collection and analysis has been completed).

Grady participates in the PhORCAS online residency application process. For more information and application deadlines, please see www.ashp.org/phorcas.

For additional questions, please contact Dr. Kristi Quairoli, Director of the Ambulatory Care Residency program at (404) 616-5406 or (404) 694-7622 or by e-mail at [email protected].