Residents will spend a good share of their experience in our ambulatory care PACT clinics (medical home model) conducting patient interviews and establishing therapeutic plans. Residents will practice at the top of their license providing medication therapy management in three Ambulatory Care rotations. Disease states include: anticoagulation, hyperlipidemia, hypertension, diabetes and pre-diabetes, smoking cessation, congestive heart failure, thyroid management, pain management (including opioid tapers and multi-disciplinary pain clinic) and polypharmacy. Anticoagulation is exclusively managed by clinical pharmacists at the VA - residents will complete a month-long rotation in this clinic managing warfarin and DOAC therapies. Residents will complete two rotations on the Community Living Center (CLC). While working on the CLC floor, residents will gain experience working with geriatric patients in a sub-acute care setting. They will participate in daily rounds, pharmacokinetics, anticoagulation and other disease management, medication reconciliation, monthly drug-regimen reviews and participate in the interdisciplinary team. Residents will also get the opportunity for a month-long Pharmacy Management experience. During this rotation, residents will gain insight to the management team at the Grand Island VA through participation in several meetings and project completion. The required Mental Health rotation will provide the resident experience managing sleep disorders, anxiety, depression, benzodiazepine tapers and tobacco cessation. Residents will also gain exposure to substance use disorder in working with the patients completing the 30-day inpatient substance abuse treatment program (SARRTP).
Residents will have ample opportunity to refine presentation skills through the longitudinal Drug Information rotation. Residents will gain experience presenting to nursing, provider and pharmacy staff, as well as, APPE rotation students and group patient forums. The longitudinal Residency Project learning experience provides residents with the opportunity to work with a project mentor to develop a research or a quality improvement project. This will be presented at the Midwest Pharmacy Residency Conference in May. Residents will be actively involved in formulary management throughout the course of the year.
Residents will have three elective opportunities. At the Grand Island VA, residents may choose to complete electives in home-based primary care, outpatient infusion clinics, as well as additional rotations in anticoagulation clinic or on the CLC floor. There are several virtual rotations that would be completed primarily from the Grand Island campus as well: Academic Detailing, PharmacoEconomics (Lincoln/Grand Island) and Pharmacy Informatics (Lincoln/Grand Island). Residents may complete a Rural Ambulatory Care elective at the North Platte satellite clinic (housing subject to availability). The program also has preceptors at the Omaha and Lincoln VA's which allows for residents to choose offsite electives to help round out the residency experiences. Offsite electives include: Acute Care/Internal Medicine (Omaha), Inpatient Mental Health (Omaha), Cardiology/CHF Clinic (Omaha), Infectious Disease/Antimicrobial Stewardship (Omaha).
Doctor of Pharmacy degree from an ACPE-accredited school of pharmacy, minimum GPA 3.0, eligible for pharmacy licensure in any of the 50 U.S. states or the District of Columbia, letter of intent, curriculum vitae, academic transcripts, and three completed ASHP residency applicant recommendation request forms. Request that references complete and answer all narrative comment questions (1-4) in their entirety on the Standardized Reference form available in PhORCAS. Must be a US Citizen.
About PGY1 Pharmacy Residency - Grand Island VA
VA Mission Statement:
Honor America’s Veterans by providing exceptional health care that improves their health and well-being.
VHA will continue to be the benchmark of excellence and value in health care and benefits by providing exemplary services that are both patient-centered and evidence-based. This care will be delivered by engaged, collaborative teams in an integrated environment that supports learning, discovery and continuous improvement. It will emphasize prevention and population health and contribute to the nation’s well-being through education, research and service in national emergencies.