VA Sierra Nevada Health Care System Web view VA Sierra Nevada Healthcare System¢â‚¬â„¢s post graduate year

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Pharmacy Residency

Post Graduate Year One


VA Sierra Nevada Health Care System (VASNHCS)

Reno, Nevada

Accredited by the

American Society of Health-System Pharmacists



Scott Mambourg, Pharm.D., BCPS, AAHIVP

Associate Chief, Clinical Pharmacy Service

PGY1 Residency Director

Responsible Officials for the Administration of the Program

Lisa M. Howard


Jack Smith

Associate Director

Steven E. Brilliant, M.D., FACP

Chief of Staff

Rachel Crossley, RN, MSN

Associate Director, Patient Care Service/Nurse Executive

Beth Foster, RPh

Chief, Pharmacy Service

Scott E. Mambourg, Pharm.D., BCPS, AAHIVP

Associate Chief, Clinical Pharmacy Service

PGY1 Residency Director

Residency Board, Pharmacy Service

Scott Mambourg, Pharm.D., BCPS, AAHIVP Chair (PGY1 Director)

Jan Carmichael, Pharm.D., FCCP, FAPhA, BCPS (PGY2 Director)

Heather Mooney, Pharm. D., BCPS, BCPP (PGY2 Director)

Dawn Currie, Pharm.D., BCPS (PGY2 Director)

Amneet Rai, Pharm.D.

Kim Jacques, Pharm.D., AAHIVP

Vanessa Vaupel, Pharm D., BCPS

Amanda Shelton, Pharm.D., BCPS

Table of Contents Responsible Officials for the Administration of the Program 2 PGY1 Pharmacy Residency 6 Purpose Statement 6 Program Outcomes 6 Program Description 6 VASNHCS Mission 6 VASNHCS Pharmacy Service Mission and Vision: 6 Pharmacist Licensure 7 Professional Development 7 Benefits 8 General 8 Pay 8 Attendance 8 Annual Leave 8 Authorized Absence 8 Sick Leave 9 Family Friendly Leave (CB) 9 Emergencies 9 Inclement Weather 9 Holidays 9 Dress Code 9 Tour of Duty 9 Qualifications of the Resident: 9 Qualifications of the Program Director and Preceptors: from ASHP Accreditation Standard 10 Confidentiality 12 Duty Hours 12 Pharmacy Residency “Chain of Command” 13 Program Description 14 Requirements to Receive Residency Certificate 14 Obligations of the Resident to the Program 14 Residency Disciplinary Actions and Dismissal Policy 14 Termination Policy 15 Scope of Practice 16 Pharmacy Residency Board 19 Rotations and Activities 20 Required Rotations 20 Required Longitudinal Experiences 20 Required Activities and Examples 20 (See Pharmshare folder for the actual documents listed here) 20 Required Meetings and Assignments 20 Electives 21 Learning Experience Preceptors 22 PGY-1 Pharmacy Residency Program 23 Residency Evaluation Process 23 Meaning of Objective Ratings 24 Snapshot Scale 25 Objectives Rated as “Needs Improvement” and Remediation 25 Needs Improvement on Snapshot or Midpoint/Formative Evaluation 25 PharmAcademic Evaluation Forms: 26 Outcomes/Goals for PGY1 Pharmacy Residency 27 Required ASHP Accreditation Outcomes/Goals 27 ASHP Elective Outcome/Goal for VASNHCS 28 Project Proposal/Manuscript 29 Implementation/Data Collection 29 (See Pharmshare folder for the actual documents listed here) 29 Presentation 30 Quality 30 Journal Club Presentation Evaluation Form 31 Literature Evaluation 32 Case Presentation Evaluation 33 Final Case Presentation 34 Drug Information Request and Response 35 Attachment A: Extended Leave of Absence 38 Attachment B: Residency Project Timeline 41 Attachment C: Functional Statement 43 Attachment D: Initial Self-Assessment 49 Attachment E: Critical Goals and Objectives 60

VA Sierra Nevada Healthcare System

975 Kirman Avenue

Reno, NV 89502

July x, 20xx

Hello (first) (last),

I would like to take this opportunity to welcome you to the Post Graduate Year One (PGY1) residency program at the VA Sierra Nevada Health Care System (VASNHCS). You are entering a special portion of your pharmacy career. Residency training is unique in that roughly 10% of all pharmacy college graduates pursue this career path.

The primary purpose of the PGY1 program is to develop your individual skills in many areas of contemporary pharmacy practice. Our focus is to nurture your proficiency in managing complex therapy of patients. To help develop your proficiency you will have responsibilities in providing competent pharmaceutical care, and your preceptors will assist and guide you in gaining the greatest benefit from each experience. Goals will be set and I am confident that you will strive to meet or exceed these expectations.

The year as a resident should be challenging and busy, but through teamwork we will all benefit greatly by your residency training. Remember, faculty members are available to assist you in reaching your highest potential. I look forward to working with you, watching your growth, and seeing your further professional development in your pharmacy career.


Scott E. Mambourg, Pharm.D., BCPS, AAHIVP

Associate Chief, Clinical Pharmacy Service

PGY1 Residency Director

PGY1 Pharmacy Residency

Purpose Statement

The purpose of the PGY1 Residency Program at the VASNHCS is to produce highly skilled pharmaceutical care providers competent in a variety of direct patient care settings. Upon completion of the program, residents will be prepared to be a VA Clinical Pharmacy Specialist or to enter similar practice areas including general medicine, acute care, ambulatory care, and long term care, or for PGY2 training in specialized areas.

Program Outcomes

Educational Outcomes:

· Manage and improve the medication-use process (R1)

· Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams (R2)

· Exercise leadership and practice management skills (R3)

· Demonstrate project management skills (R4)

· Provide medication and practice-related education/training (R5)

· Utilize medical informatics (R6)

Selected Elective Program Outcomes:

· Participate in the management of medical emergencies (E5)

· Manage time effectively to fulfill practice responsibilities (E7)

Program Description

VA Sierra Nevada Healthcare System’s post graduate year one pharmacy residency program (PGY1) produces highly skilled pharmaceutical care providers competent in a variety of direct patient care settings. Completion of the residency prepares its graduates to assume positions as patient care clinicians in a variety of settings or to pursue second year post-graduate training in a focused area of practice.


“Providing World Class Care and Service to America’s Heroes”

VASNHCS Pharmacy Service Mission and Vision:

Mission: To provide the highest quality care to veterans by ensuring safe, effective, and medically necessary use of medications.


· We will be an essential component of the patient focused Health Care Team.

· We will create a practice environment that fosters educations, research and professional development.

· We will advance the use of innovative technologies to ensure consistent, accurate and reliable medication distribution, education and information systems.

· We will provide pharmaceutical services during national emergencies, disasters and other events that adversely affect our veterans.

· We will be an employer of choice for pharmacists, pharmacy technicians and supportive staff by providing a compassionate, progressive work environment.

Pharmacist Licensure

All pharmacy residents are expected to be licensed no later than August 1st of the residency year and will furnish VASNHCS with a copy of licensure. The residency experience is directly related to the status of licensure. The first month will be an orientation month and is not directly affected by licensure. However, the ensuing months will be actual rotation experiences. Without licensure, skill building will be minimized leading to a less than optimal residency experience. Please note that residents are welcome to pursue licensure in Nevada, but it is not a requirement for working at the VASNHCS. The only requirement is that the resident be licensed in at least one state of choice.

Residents are expected to communicate early any barriers to obtaining licensure by August 1st. Failure to obtain licensure by October 31st may be condition for dismissal from residency. In addition, residents may be asked to use their electives to repeat core rotations when they were not yet licensed.

Professional Development

Professional development of residents is enhanced through membership and participation in local and national organizations. Membership in American Society of Health-system Pharmacists (ASHP) is required. Residents are encouraged to become members of the Nevada Society of Health-Systems Pharmacists (NVSHP), and American College of Clinical Pharmacy (ACCP). Residents are required to attend one state or regional pharmacy organization meeting (i.e. Western States Residency Conference) and one national pharmacy organization meeting (i.e. ASHP Midyear Meeting).



Parking, laboratory coats, office space, and optional pagers are furnished. Computers are available for use by the residents in the pharmacy resident’s office, inpatient and outpatient pharmacy, and clinical areas.


Residents are paid at the rate of $41,098 per year. The resident’s stipend is based on a 40-hour workweek; however, the very nature of a residency training program is such that additional time is required to complete training assignments. ACGME guidelines for duty hours must be observed (see “Duty Hours”). No additional compensation is available. Funding for travel and related meeting expenses are reimbursed for the one required state/regional and one required national