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PGY2 - Ambulatory Care Specialty Residency

Overview

The PGY2 Ambulatory Care Residency Program at the University of North Carolina Health Care is designed to develop practitioner expertise in the Ambulatory Care environment, as well as develop clinician-educators and faculty. This residency program is designed to fulfill the learning objectives identified in the ASHP Supplemental Standard and Learning Objectives for Residency Training in a Specialized Area of Pharmacy Practice.

 

The primary training goal of the program is ensure that the graduate can provide safe, efficacious, and cost-effective pharmacotherapy management in the ambulatory care setting. The resident’s competence is evaluated in 1) patient care, 2) teaching, 3) research activities.

 

Rotations

Required (1 month each):

  • General Medicine (rotation and longitudinal)
  • Chronic Pain (rotation)
  • Administration (rotation and longitudinal)
  • Preceptorship (rotation and longitudinal)
  • Staffing (rotation and longitudinal)
  • Research (rotation and longitudinal, depending on the project)
  • Teaching Assistant (longitudinal)
  • Presentation (longitudinal)
  • Cardiology (rotation)
  • Transitions of Care (rotation)

 

Elective:

  • Geriatrics
  • Academia
  • Anesthesia
  • Endocrine
  • Family Medicine
  • Drug Effectiveness Review Project

 

Explanation of the Calendar Year

Typical Sequence of Rotations:

  • July: Orientation to HCS/Staffing (required)
  • August/September: General Medicine/Diabetes (required)
  • October Pain” (Chronic Pain: GIM and Anesthesia Pain) (required)
  • November: Transitions of Care (required)
  • December: Administrative (required but also incorporated longitudinally)
  • January: Research (required but also incorporated longitudinally)
  • February: Elective
  • March: Cardiovascular (required)
  • April: Elective
  • May: Elective
  • June: Preceptorship (required but also incorporated longitudinally)

 

Preceptors

  • Betsy Bryant Shilliday
  • Robb Malone
  • Tim Ives
  • Jamie Cavanaugh
  • Caron Misita
  • Ginny Crisp
  • Lauren McKnight
  • Zach Deyo
  • Jena Ivey Burkhardt
  • Adam Persky

  

Staffing Component

The PGY2 residents are required to staff a total of 400 hours.  This is completed through staffing at the Central Outpatient Pharmacy (COP) and the Carolina Assessments of Medications Program (CAMP).  The resident staffs COP every third weekend, 1 major holiday block, 1 minor holiday block, and 1 week block (based on operational need).  The resident staffs 1 week in CAMP.

 

COP is an outpatient pharmacy located on the Ground Floor of Cancer Hospital with a primary focus in providing prescription services to the UNC Pharmacy Assistance Program (PAP) patients.  Additionally, COP participates in a discharge planning program called the Carolina Care at Home.  This program focuses on providing concierge discharge planning for patients being discharged and includes bedside medication delivery and patient counseling.  Given the partnership with a large academic medical center, COP offers exposure to a wide variety of complex patient cases.

 

CAMP provides Pharmacy Benefit Management Services for the UNCH PAP which includes prior authorization reviews, and formulary management.  The CAMP clinic is located on the Ground Floor of UNC Memorial Hospital.

 

Seminars/Professional Meetings

Each resident will attend a weekly seminar where PY4 pharmacy students present current data on various topics to an audience consisting of pharmacy residents, faculty and clinical specialists. Residents serve as reviewers for student seminar four times per year, providing feedback to students immediately following the presentation with other assigned faculty/clinical specialists.

 

Each week the resident will attend a weekly Ambulatory Care POD meeting with all learners on rotation within the ambulatory care setting to discuss relevant ambulatory care literature and cases encountered in the month.

 

During the spring semester, each resident will present an ACPE-approved seminar open for the public to attend.

 

Residents attend the North Carolina Association of Pharmacists Annual Convention in the fall, the ASHP Midyear Clinical Meeting in December, and the Research in Education and Practice Symposium in the spring.

 

Additional Requirements

The resident is required to serve as a teaching assistant (TA) at the UNC Eshelman School of Pharmacy.  In the fall the resident serves as a TA in the Pharmaceutical Care lab.  Fall semester responsibilities include leading a small group of pharmacy students weekly in discussion of therapeutic cases, physical assessment, patient counseling, compounding, and communication skills.  During the spring semester, the resident serves as a TA for an ambulatory care focused course. Spring semester responsibilities include managing Sakai, weekly class postings, speaker needs, and grade posting. 


Other requirements for completion include:   

  • Successful completion of all required rotations
  • Completion of a one-year research project or a pre-specified part of a multi-year research project
  • Present research results at a regional or national meeting
  •  Submission of research project in manuscript form to the residency program director (RPD)
  • Submission of a manuscript to a peer reviewed journal or a similar activity, as approved by the RPD
  • Completion of all evaluations in ResiTrak
  • Submission of all handouts / presentations completed throughout the year
  • Completion of 2 case conferences

 

RPD Contact Information

Betsy Bryant Shilliday

Residency Program Director, PGY2 Ambulatory Care, UNC Department of Pharmacy

5034 Old Clinic Bldg, CB#7110

Chapel Hill, NC 27599-7110

Office: (919) 843-0391

Fax: (919) 966-4507

betsy_bryant@med.unc.edu

 

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