Program Overview
Educational Competency Areas
The required educational competency areas for the VCU PGY1 Community-Based Pharmacy Residency Program are as follows:
- Competency area R1: Patient care
- Competency area R2: Leadership and management
- Competency area R3: Advancement of community-based practice and improving patient care
- Competency area R4: Teaching, education and dissemination of knowledge
The residency will be tailored to complement and augment the background and career goals of the successful applicant.
Resident Responsibilities
In general, the resident’s responsibilities will include:
- Patient care - 70%
- Patient care community-based setting - 40%
- Community-based clinics - 10%
- Patient-centered dispensing - 20%
- Program development and management - 15%
- Community and professional leadership - 5%
- Residency program administration - 1%
- Community and professional leadership - 4%
- Research and contribution to the literature - 5%
- Teaching and training - 5%
Patient Care
The patient care learning experience represents the foundation for the residency program and includes work in a community-based site, ambulatory care clinics and patient-centered dispensing.
Residents will spend 40% of their time in patient care activities at their primary practice site outside of patient-centered dispensing. It is designed to give residents skills and knowledge to care for patients in the community-based pharmacy setting. Residents will apply the JCPP Patient Care Process when taking care of patients in the community-based pharmacy setting. Examples of patient care activities include medication therapy management, the appointment-based model for medication synchronization, chronic care management, disease state education, hormonal contraceptives, transitions of care, travel health, acute care management, including test and treat, and wellness and prevention including immunizations, screenings, tobacco cessation and weight management.
This learning experience is designed to provide residents with the skills and knowledge to care for patients in collaboration with other health care professionals.
Ambulatory Care Clinic Sites
- Daily Planet Health Services, Inc.: The Daily Planet is a comprehensive health services and activity center that serves the homeless and underprivileged people of the greater Richmond area. This clinic was established in 1969 with a mission to enable homeless or near homeless individuals reach a level of self-sustainability.
- Patient-Centered Medical Home: Residents will train for a total of eight months in the patient-centered medical home. One four-month block will primarily be focused on anticoagulation (meets weekly on Mondays from 8:00 a.m. to noon) and another four-month block for primary care (meets weekly on Tuesday or Friday from 8:00 a.m. to noon). Residents from Bremo, Buford and Kroger-Richmond rotate through the medical clinic. Their primary responsibility is to conduct visits for medication therapy management, medication refills, disease management, anticoagulation, wellness and prevention including smoking cessation, immunizations and annual wellness visits. The resident works collaboratively with the physician and/or nurse practitioner to assess the patient’s therapy. This is a wonderful opportunity to work closely with other health care professionals.
- Primary preceptor: Kelly Goode, Pharm.D., BCPS, Alexis Page, Pharm.D., Jessica McDaniel, Pharm.D.
- Behavioral Health Clinic: This clinic meets every week for one half day. Residents from the Bremo, Buford Road, and Kroger-Richmond sites rotate through the Behavioral Health Clinic. Their primary responsibility is to meet with the patient for medication reviews and consultations prior to their appointment with the physician/nurse practitioner. The resident works collaboratively with the physician/nurse practitioner to assess the patient’s therapy. This is a wonderful opportunity to work closely with other health care professionals in the field of behavioral health.
- Primary preceptor: Sharon Gatewood, Pharm.D.
- Bradley Free Clinic: Providing free health care since 1974, the Bradley Free Clinic provides free medical, dental, behavioral health and pharmacy services to those who have low incomes, who are uninsured, and those with Medicaid who live in the Roanoke Valley and surrounding areas. Bradley provides care to patients through a team of dedicated staff and professional volunteers, many of whom are among the most respected in their field throughout the region.
Residents from Kroger - Roanoke will train for five hours each week at the Bradley Free Clinic. Pharmacy services will include medication management and diabetes management.
- Preceptor: Jamie Remines, Pharm.D.
The patient-centered dispensing learning experience is designed to give residents skills and knowledge to manage a dispensing practice incorporated with patient care services such as wellness and prevention, education, medication therapy management and identification of patients for other services. Residents will participate in a minimum of eight hours of patient-centered dispensing each week. Patient-centered dispensing is defined as dispensing with patient care activities incorporated at the same time including but not limited to immunizations, medication therapy management visits, education and identification of patients for other services.
Teaching and Training
The teaching and training learning experience is designed to give residents skills and knowledge for teaching patients, student pharmacists, pharmacists and other health care professionals. Residents are required to give provide two mall group facilitations each semester, one large lecture and participate in Advanced Pharmacy Practice Experiences for the professional degree program. In addition, residents will be teaching patients, presenting a continuing education program for pharmacists and a program for other health professionals.
Additionally, residents will be required to complete the Practitioner-Teacher Program. Residents will receive a certificate of completion for the Practitioner-Teacher Program.
Program Development and Management
The program development and management learning experience is designed to give residents skills and knowledge to develop and manage financially viable patient care practice. Residents will be involved with a quality improvement project and will develop a business plan for a new patient care service which residents will implement and evaluate.
Research and Contribution to the Literature
The research and contribution to the literature learning experience is designed to give residents skills and knowledge to conduct practice-based projects and for writing, presenting and publishing. Residents will conduct a research project and write a continuing education article.
Electives
Elective activities are designed to enrich the resident’s experiences in areas not part of the core curriculum or to expand on core curriculum areas. The elective activities will be selected in consultation with their site coordinator/primary preceptor and the residency director. All efforts will be made to grant the resident opportunities for elective activities of their choice; however, timing, logistics, etc. may not allow for certain experiences. Previous residents have completed elective activities with the American Pharmacists Association, Virginia Pharmacists Association, managed care, and other innovative community practice sites and industry.