Residency Program

Ambulatory Care Pharmacy (PGY2)

Introduction

Duke University Hospital provides over 1 million outpatient clinic visits annually in a wide variety of primary care and specialty clinics. Primary care clinics are located around the Durham community and beyond, including the Duke Outpatient Clinic which serves a major training site for the medicine and pharmacy programs. Specialty clinics are located on the hospital campus as well as in satellite clinics around Durham. Specialty services include comprehensive outpatient oncology services in the Morris Clinic and clinics in cardiology, endocrinology, pulmonology, transplant, and many other specialties. 

Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide 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 or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

The purpose of the PGY2 Ambulatory Care Residency Program is to help the resident develop an expert-level evidence-based knowledge base in the area of chronic disease management, implement and manage new areas of pharmacy practice in the outpatient environment, conduct research in practical areas of ambulatory care pharmacy practice, become an expert in the education of learners of pharmacy and other professions, and to become a consummate professional leader in the field of ambulatory care pharmacy.

Outcomes

A resident specific customized plan will be created with aid from the residency program director based on the resident’s prior experience and interests. This will guide the development and achievement of an individualized set goals and educational outcomes.

Required Outcomes

  • R1.1 Provide comprehensive medication management to ambulatory care patients following a consistent patient care process.  
  • R1.2 Design and/or deliver programs that contribute to public health efforts or population management.
  • R2.1: Manage the development or revision, and implementation, of proposals related to the ambulatory care setting.
  • R2.2 Demonstrate ability to conduct a research project.       
  • R3.1: Demonstrate leadership skills.
  • R3.2: Demonstrate management skills in the provision of care for ambulatory care patients.
  • R3.3: Manage the operation of an ambulatory care pharmacy service.
  • R4.1: Demonstrate excellence in providing effective medication and practice-related education.
  • R4.2: Effectively employ appropriate preceptor roles when engaged in teaching students, pharmacy technicians, or fellow health care professionals in ambulatory care.

Elective Outcomes

  • E2.1: Where the ambulatory care pharmacy practice is within a setting that allows pharmacist credentialing, successfully apply for credentialing.
  • E4.1: In collaboration with the health care team, provide safe and effective patient care to a diverse range of patients, including those with multiple co-morbidities, high-risk medication regimens, and multiple medications following a consistent patient care process.
  • E5.1: Effectively fulfill the major functions of a specialty pharmacist, including intake, clinical management, fulfillment, and facilitating optimal outcomes.
  • R6.1: Ensure continuity of care during ambulatory care patient transitions between care settings.

Teaching

  • Didactic lectures and small group facilitation as available for the Duke Doctorate of Physical Therapy Program and the Duke Medical School
  • Lead a small pharmacy student group in weekly discussion of therapeutic cases, disease state review, and corresponding journal club (longitudinal)
  • In-services to pharmacy, medical and nursing staff
  • Continuing education lectures to pharmacy staff such as pharmacy noon conference, and ambulatory care conference (longitudinal)
  • Co-preceptor of pharmacy students and PGY1 residents on multiple experiences
  • Option to participate in the Duke Teaching Certificate Program

PGY2 Ambulatory Care Brochure

PGY2 Ambulatory Care Timeline

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