IHS PGY-2 Pharmacy Residency Programs
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Northern Navajo Medical Center
PO Box 160 (N Hwy 491) Shiprock, NM 87420
Phone: 505-368-7246
Fax: 505-368-7260Director of Pharmacy
LCDR Samuel CroppResidency Program Director
CAPT Kevin McDermott, PharmD, BCACPType of Training Site
Ambulatory CarePositions :1; Early Commit is not available
Accreditation
ASHP AccreditedFacility Information
The Northern Navajo Medical Center serves as a referral center for reservation-based hospitals and clinics in New Mexico, Arizona, Colorado and Utah. Each year NNMC has roughly 133,000 outpatient clinic visits from 68,000 patients not including pharmacy visits.
Goal
Create a well-rounded, confident, and competent pharmacist practitioners capable of working in multiple clinic settings. PGY2 residents are expected to begin working towards the privileging requirements for the NNMC Pharmacist Practitioner during residency. This requires completion of physical assessment training course and obtaining 500 clinic hours in various settings.
Vision
National provider shortages are creating obstacles to patient care. It is the vision of NNMC to fill this gap with qualified Pharmacist Practitioners (PP). The PP assume the same level of diagnostic and therapeutic responsibilities as medical personnel, similar to nurse practitioners and physician assistants. PPs utilize comprehensive interviewing, physical assessment, and diagnostic skills to manage patients who present with common, high volume acute and chronic illnesses. Complex problems are referred to the physician.
The NNMC PGY2 program shall provide a training environment to meet this vision.Rotational Experience Opportunities
Administration
Resident will learn administrative responsibilities, complete projects related to pharmacy administration, and develop an understanding of pharmacy leadership.
Physical Assessment Course
All residents shall be required to attend the NNMC Pharmacy Physical Assessment Course. This course provides training on performing general cardiology, pulmonology, abdominal, neurology, musculoskeletal, and HEENT examinations. Additionally, training on working up and evaluating common new complaints will be presented.
Chronic Disease Management Clinic
Manage any previously diagnosed disease states and related co-morbid conditions including but not limited to diabetes, hyperlipidemia, hypertension, asthma, COPD, heart failure, gout, hyper/hypothyroid, epilepsy, headaches, depression, GERD, sinusitis, anticoagulation, rheumatoid arthritis, and onychomycosis.
HIV/Hepatitis C
Specialized clinic involving care of these disease states and appropriation of funds to pay for required medications.
Epilepsy
Specialized clinic for the evaluation and treatment of seizure in adults.
Anticoagulation
General clinic for the monitoring and adjustment of warfarin, heparin products, and DOACs.
Family Medicine Clinics
In these clinics, residents will begin learning how to work up new complaints and hone diagnostic skills. Residents will perform appropriate physical examinations and order labs and tests as needed to treat and diagnose the patient. Focus is on common acute and chronic complaints with more complex complaints being referred to a higher level of care.
Outpatient
Resident shall screen medication orders, enter orders into the computer system, and counsel patients using I.H.S. techniques. Residents will be expected to review patient charts and perform necessary calculations to ensure safe medication administration.
Drug Information
Attend P&T and Medication Error meetings and write meeting minutes. Present case and journal article reviews to staff.
Student Program
Serve as primary preceptor to student(s) on rotation utilizing the ASHP preceptor roles and perform final student evaluations. Resident shall also assist Student Program Coordinator with all administrative duties.
Other Training
Residents shall attend Officer Basic Course (if Commissioned Corps), Indian Health Service Pharmacy Practice Training Program, and ASHP mid-year meeting.Special Features
Surrounded by a land of immense natural beauty marked by towering mesas and bordered by scenic mountains, the community of Shiprock is situated on the banks of the San Juan River. Many world-class attractions are within 90 miles of Shiprock including the mountain bike meccas of Moab, Utah and Durango, Colorado. Winter sports destinations include the Rocky Mountain ski areas of Purgatory, Telluride, and Wolf Creek.
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Phoenix Indian Medical Center
4212 N 16th St. Phoenix, AZ 85016
Phone: 602-263-1506
Fax: 602-263-1621Director of Pharmacy
CAPT Lisa Olson, PharmD, BCPSResidency Program Director
CDR Dinesh Sukhlall PharmD, BCPSResidency Program Coordinator
CDR Kelly Owens, PharmD, BCPSType of Training Site
Hospital and Ambulatory CarePositions 1
Accreditation
ASHP Pre-accreditation and Candidate StatusFacility Information
Phoenix Indian Medical Center (PIMC) serves as a referral center for reservation-based hospitals and clinics in Arizona, Nevada, and Utah as well as primary and acute care services for the urban American Indian/Alaska Native population of the Phoenix metropolitan area.Rotational Experience Opportunities
The goal of this PGY2 Corporate Pharmacy Administration and Leadership (CPAL) residency program is to recruit and retain future leaders. Graduates of this program will develop capabilities surrounding targeted strategies to impact public health/population health outcomes; apply implementation and improvement framework to impact complex systems problems; and translate evidence into practice. Learning experiences will improve cultural competence and expose the learner to a variety of leadership experiences and preceptors—the best that IHS has to offer—that will foster a desire to impact public health priorities and address health equity issues.
The resident will gain experience in corporate/headquarters pharmacy leadership, supply chain management, clinical services management, pharmacy management, clinical operations, medication safety, and regulatory compliance. Longitudinal experiences will include management of pharmacy areas, medication use policy, and pharmacy informatics. The resident will work collaboratively to develop process improvement projects, lead organizational meetings and strategic planning efforts, and manage human and financial resources to develop advanced leadership skills that are necessary to assume a variety of leadership roles and responsibilities. Upon graduation, residents are prepared for a clinical or operational management/supervisory role in a variety of work settings, especially federal service.Special Features
Phoenix is the capital and most populous city in Arizona. It is a short drive for many outdoor recreational activities including hiking, camping, boating, fishing, and skiing. Abundant nightlife, theater, and professional sporting events can occasionally be engaged in during the busy residency year. Phoenix is home to several major league and professional sports teams including football, men and women’s basketball, baseball, hockey, and soccer.
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Choctaw Nation Health Services Authority
1 Choctaw Way Talihina OK 74571
Phone: 918-567-7000 ext. 6735
Fax: 918-567-7037Director of Pharmacy
CAPT Clint Bullock, DPh, MPHResidency Program Director
CDR Ashlee Knapp Harden, PharmD, MS, BCPSType of Training Site
Medication Use Safety and PolicyPositions 1
Accreditation
Awaiting ASHP Pre-Candidate approvalFacility Information
In 1999, the Choctaw Nation of Oklahoma was the first tribe to build its own hospital with its own funding. The Choctaw Nation Health Care Center is a 140,000 square foot health facility with 44 hospital beds for inpatient care and 52 exam rooms located in Talihina, OK. This is the center of health care services covering 10 ½ counties of southeastern Oklahoma.
The Choctaw Nation is the third largest Indian Nation in the United States, with close to 200,000 tribal members. The first tribe over the Trail of Tears, the historic boundaries are in the southeast corner of Oklahoma. The vision of the Choctaw Nation is “To achieve healthy, successful, productive, and self-sufficient lifestyles for a proud nation of Choctaws.”
Goal
The Medication-Use Safety and Policy PGY2 Residency offers advanced pharmacist training that prepares them to assume a leadership role in devising and implementing system changes that improve the safety, efficiency, and appropriateness of the medication-use system.Rotational Experience Opportunities
The Choctaw Nation Health Services Center (CNHSA) PGY2 Medication Use Safety and Policy pharmacy residency program builds on Doctor of Pharmacy (PharmD) education and residents’ prior PGY1 pharmacy residency experience to contribute to the development of exceptional clinical pharmacists in Medication Safety practice.
Rotational experiences will include required rotations in Orientation, Medication safety I including med safety principles, Medication safety II including error investigations/risk reduction strategy, Clinical Informatics, Antibiotic/Opioid stewardship, Hospital Accreditation including focus on Joint Commission medication management standards. Longitudinal rotations include Research and Quality Improvement Project and Outpatient Staffing and will include projects such as ISMP/ASHP medication safety certificate, teaching/precepting, medication safety workgroup, as well as root cause analysis participation.
Throughout the year, the resident will be involved in pharmacy student, pharmacy resident and all staff education. The resident will also be responsible for assisting in precepting student and residents during the residency year. Participation in a Teaching and Learning Certificate Program is offered. The resident will develop a research project as a longitudinal experience and present at ASHP mid-year meeting.
Other Training: Residents shall attend the Officer Basic Course (if commissioned corps), Indian Health Service Pharmacy Practice Training Program, and ASHP mid-year meeting.Special Features
The Choctaw Nation Health Services center is located in beautiful Southeastern Oklahoma, boasting a large integrated health system that spans an area roughly the size of the state of Vermont. It is the mountain gateway to the beautiful Talimena Drive and the Ouachita National Forest. It offers many outdoor activities such as hiking, camping, fishing, and hunting. This position is the first residency of its kind in the state of Oklahoma and only the third postgraduate year 2 program within the Indian Health Service. CNHSA has had a successful PGY1 program since 2004, helping to create many leaders within the health system and IHS itself.
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Whiteriver Indian Health Service Hospital
PO Box 860 Whiteriver, AZ 85941
Phone: 928-338-3502
Fax: 928-338-3510Director of Pharmacy
CDR Kelly Owens, PharmD, BCPSResidency Program Director
LCDR Marilee Chapman, PharmD, BCACPResidency Program Coordinator
LCDR Megan Dill, PharmD, BCACPType of Training Site
Ambulatory CarePositions 1
Accreditation
ASHP accredited residency programFacility Information
Whiteriver Indian Health Hospital provides services to over 20,000 Native Americans primarily of the White Mountain Apache Tribe throughout the beautiful White Mountains of Arizona. The Fort Apache Indian Reservation spans an area the size of Delaware, and is located in the high desert of Northeast Arizona. The facility receives over 120,000 ambulatory visits and 2,000 admissions annually. Local services/departments include: Outpatient, Inpatient, Emergency Room, Dental, Eye, Physical Therapy, Occupational Therapy, Dietary, Diabetes, and a full suite of Pharmacy services.
Goal
To prepare PGY-1 trained pharmacists to become exceptional ambulatory care practitioners. Our philosophy aligns with the Indian Health Service Mission: to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest possible level. All activities undertaken by the resident will support the IHS mission.Rotational Experience Opportunities
The Whiteriver Service Unit (WRSU) PGY2 Ambulatory Care pharmacy residency program builds on Doctor of Pharmacy (PharmD) education and residents’ prior PGY1 pharmacy residency experience to contribute to the development of exceptional clinical pharmacists in Ambulatory Care practice. The program provides PGY2 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. WRSU pharmacists are fully integrated into in several areas of Ambulatory Care practice, including: Family Medicine, Internal Medicine, Urgent Care, Dialysis, Skilled Nursing, Home Visits, and provision of vaccines for adults and children in the community. The resident will be embedded in the Patient Centered Medical Home (PCMH) and care for patients under a broad collaborative practice agreement (CPA). The Chronic Disease Therapy Management (CDTM) CPA allows pharmacists to manage diabetes, hyperlipidemia, hypertension, heart failure, chronic pain, rheumatology, hepatology, nephrology, anticoagulation, hypothyroidism, tobacco cessation, immunizations, and other chronic conditions, as well as some acute issues. PGY2 residents complete a required Pharmacy Administration and Leadership learning experience with exposure to both pharmacy and hospital administration and leaders. The resident will have the opportunity to pursue an elective rotation (Pediatrics) in addition to block rotations in PCMH, Community Outreach and ER/Outpatient Staffing, as well as experience in dialysis. PGY2 residents will precept pharmacy students. Participation in a Teaching and Learning Certificate Program is encouraged and supported. The resident will initiate and implement a residency project as a longitudinal experience including a written manuscript.
Other Training
Residents shall be sent to Officer Basic Course (if Commissioned Corps), Indian Health Service Applied Clinical Training Program, New Mexico Physical Assessment Course, Indian Health Service Southwest Regional Pharmacy Continuing Education Meeting (QUAD), Southwest States Residency Conference, and ASHP Midyear meetings.Special Features
As the first fully accredited PGY2 residency in the Indian Health Service, we pride ourselves on pharmacy innovation. WRSU has a long history of progressive pharmacy practice and is nationally known for innovative programs. We are located in the northern area of Arizona surrounded by lakes and the largest ponderosa pine forest in the nation. During the summer months, many people come for the cool weather to fish, hike, camp and bike; and during the winter, people come for the wonderful skiing/snowboarding opportunities at the Sunrise Ski Resort. Whiteriver is an excellent home base to explore the southwest. Flagstaff, Phoenix, Tucson, and the Grand Canyon are all less than 4 hours away.
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Cherokee Indian Hospital
1 Hospital Rd, Cherokee, NC, 28719
Phone: 828-497-9163
Fax: 928-497-3663Director of Pharmacy
CAPT Jason White, PharmD, BCACPResidency Program Director
CDR Eric Metterhausen, PharmD, BCACP, BCPS, CPP, CPHResidency Program Coordinator
CDR Tabitha Dillinger, PharmD, MS, BCPS, NCPS, CPPType of Training Site
Ambulatory CarePositions 1
Accreditation
ASHP candidate statusFacility Information
Cherokee Indian Hospital provides services to over 14,000 patients, primarily enrolled members of the Eastern Band of Cherokee Indians, in western North Carolina. The facility receives over 115,000 ambulatory visits annually. Local services/departments include: Primary Care, Inpatient (Medical and Psychiatric), Medication Assisted Treatment, Residential Treatment Center, Emergency Room, Dental, Eye Clinic, Physical Therapy/Ortho/Wound Care, Occupational Therapy, Nutrition, Radiology, Laboratory, Respiratory Therapy, Durable Medical Equipment, and a wide variety of Pharmacy services.
Goal
To prepare PGY-1 trained pharmacists to become an independent Clinical Pharmacist Practitioners in Ambulatory Care and be well prepared for board certification. PGY-2 residents are expected to become licensed as Clinical Pharmacist Practitioners in NC. We would like to see our PGY-2 residents not only become confident and proficient in our current clinics, but also expand upon or create a new program and become future pharmacy leaders.Rotational Experience Opportunities
Primary Care
The primary care rotations will be split into 6 separate 5 week block rotations. Each of these blocks will focus on a specific area within primary care as follows:
Primary Care I: Endocrine
Primary Care II: Geriatrics /Rheumatology
Primary Care III: Cardiology
Primary Care IV: Hepatitis C/Infectious Disease
Primary Care V: Pulmonary
Specialty: Dermatology, Nephrology, Women's Health, and Gastroenterology
Primary Care VI: Managing Clinic
Serve as an embedded clinical pharmacist within the Patient Centered Medical Home (PCMH) model, providing chronic disease state management, medication reconciliations, drug information, patient education, and population health management.
Thrombosis and Hemostasis
Provide clinical pharmacist services to patients on warfarin and other direct oral anticoagulant (DOAC) medications. Ensure appropriate monitoring of medications and appropriate medication and duration selection.
Outlying Clinics
Provide clinical pharmacist services within the Patient Centered Medical Home (PCMH) model at the satellite clinics: Snowbird Clinic, Cherokee County Clinic, and within the Cardiology Clinic.
Teaching
Serve as a primary preceptor to APPE students utilizing the appropriate preceptor roles, as well as utilize teaching skills to provide educational presentations to interdisciplinary audiences. An optional teaching certificate is available.
Drug Information
Completing non-formulary request research and making recommendations to the Non-Formulary Subcommittee and P&T, Completing MUEs, Presenting Journal Clubs, Leading Topic Discussions, Compiling formal write ups for Drug Information Questions, and P&T presentations.
Leadership, Administration, and Special Projects
Demonstrate the ability to conduct quality improvement projects. Develop leadership skills while developing and updating policies and procedures. Learn about aspects of leadership and administration required for managing pharmacists within the ambulatory care setting.
Research Project I and II
Demonstrate the ability to design and carry out a research project, often leading to the development of a new position or service within the pharmacy department. Ensure research methods are designed appropriately and carried out. Providing presentations regarding the selected research in both verbal and written formats.
Staffing
Serve as an embedded clinical pharmacist within the Patient Centered Medical Home (PCMH) model, providing chronic disease state management, medication reconciliations, drug information, patient education, and population health management.
Elective learning experiences may be developed based on resident interest and preceptor availability.
Other Training
Residents shall be sent to Officer Basic Course (if Commissioned Corps) and ASHP Midyear meetings.Special Features
Located in beautiful western North Carolina, the Cherokee Indian Hospital sits right up against Great Smokey Mountain National Park. Outdoor adventure opportunities are abundant in the area including but not limited to, hiking, mountain biking, kayaking, whitewater rafting, boating, and fly fishing. Within a short driving distance from the facility are several nice communities with vibrant downtowns and plenty of shopping and dining opportunities. Within about an hour drive is Asheville NC, which is renowned for its culinary, music, and art scene. Major cities nearby include Charlotte NC (3.5 hours), Atlanta GA (3 hours), and Knoxville TN (2 hours).
