Alert

PGY2 Ambulatory Care

Welcome

The University of North Carolina Medical Center, in conjunction with the UNC Eshelman School of Pharmacy, offers a 12-month ASHP-accredited PGY2 residency in Ambulatory Care.  

The PGY2 Ambulatory Care Residency Program is designed to develop leaders in pharmaceutical care for ambulatory patients. At the completion of this residency, the resident will have acquired the knowledge, skills, and attitudes necessary to provide pharmacotherapy services to ambulatory patients and to serve as a successful clinician educator capable of performing clinical outcomes research and satisfying requirements for an assistant clinical professor within a school of pharmacy.  The residency program is designed to fulfill the ASHP Educational Outcomes, Goals, and Objectives for PGY2 Ambulatory Care Pharmacy Residency Programs.

Continuity of care in an interdisciplinary team environment is a major focus of the residency. The resident will be responsible for pharmacotherapy decisions, patient counseling, and monitoring of drug therapy to optimize therapeutic outcomes. Projects, clinical research, staff education, presentations, publications, and student precepting are important components of the residency experience. Rotations are planned in collaboration with each resident to optimize opportunities for learning and development of individual interests.

Caron

Caron Misita

Caron Misita, PharmD, BCPS, CDE, CPP

Residency Program Director, PGY2 Ambulatory Care Residency

Clinical Pharmacist Practitioner, Diabetes Care and Endocrinology

caron.misita@unchealth.unc.edu

Patient Care

With the exception of the longitudinal clinic experience and the staffing experience, patient care activities are designed as month-long rotations.  All rotations are tailored to the resident’s interests, career goals, and prior experience. 

Emphasis is placed on providing the resident with direct patient care responsibilities in various primary care and specialty clinic settings, with a goal of developing exemplary clinical skills, knowledge, and competencies. The resident is expected to become a licensed Clinical Pharmacist Practitioner within his/her designated continuity clinic setting(s), at a minimum.

Required Rotations:

  • Orientation (July)
  • Primary Care – General Internal Medicine or Family Medicine
  • Endocrinology / Cardiology (in a combined month)
  • Chronic Pain Management
  • Transitions of Care
  • Research (December)
  • Academia
  • Ambulatory Care Administration
  • Precepting
  • Longitudinal continuity clinics, with a focus on anticoagulation, diabetes, and disease management activities

Elective Rotations:

  • Anesthesia Chronic Pain Management
  • Cardiology
  • Endocrinology
  • Family Medicine
  • General Internal Medicine
  • Geriatrics
  • Hematology / Thrombosis
  • Hepatology
  • Neurology
  • Rheumatology
  • Solid Organ Transplant

Experience

Pharmacy Practice Responsibilities

Residents will receive training and orientation to the department's services during the first few weeks of the program.  Pharmacy practice responsibilities involve staffing in one of the UNCH Ambulatory Pharmacy Care Network outpatient pharmacies.  Residents staff every third weekend, one of three 5-day major holiday blocks (Thanksgiving, Christmas, or New Year’s), one minor holiday (Labor Day, MLK, or Memorial Day), and for three 1-week staffing blocks during the year.  One of these staffing weeks will be focused on population health and/or pharmacy benefits management. Additionally, residents may be required to participate in the after-hours ambulatory care pharmacy clinical on-call program.

Educational Opportunities & Teaching Responsibilities

UNCH residents are incorporated into a layered learning and practice model with pharmacy students, co-residents, and clinical specialists.

Required Teaching
  • Teaching assistant for a Pharmaceutical Care Laboratory for UNC ESOP (one semester)

    • Lead a small pharmacy student group in weekly discussion of therapeutic cases, physical assessment, patient counseling, compounding, and communication skills 

  • Teaching assistant for a UNC ESOP ambulatory care-focused required or elective course (one semester)

    • Manage the class website (e.g. readings, assignments, class postings, etc.), address speaker needs, respond to student questions, grade (some assignments) and post grades

  • Present one 45-minute ACPE-approved continuing education program

  • Facilitate literature- or case-based pod discussions amongst ambulatory care learners and preceptors

  • Facilitate 1 to 2 interactive case conferences for PGY1 residents  and 4th professional year pharmacy students

  • Co-precept pharmacy learners, including participation as an active member of the layered learning model with pharmacy students, co-residents, and clinical specialists

  • Present at least one didactic lecture to pharmacy students

Other Teaching Opportunities

  • Facilitate recitation sessions for 1st, 2nd, and 3rd professional year pharmacy students

  • Present additional didactic lectures within or outside of the UNC ESOP

  • Teaching Certificate Program, by application and selection (include hyperlink)

Leadership Opportunities

UNC residents are offered the option to pursue completion of a leadership certificate through participation in the UNCH Pharmacy Residency Leadership Certificate Program (include hyperlink). An application process is necessary to join the leadership certificate program, and if accepted, residents will be provided guidance on facilitating leadership-focused topic discussions, leadership in motion projects, mentorship, and other activities to receive their certificate.

Residents are also involved in various administrative and committee responsibilities throughout the year.

Research and Publication

The resident will participate in a research project that fulfills the following learning objectives: develop a research hypothesis and study design, collect and summarize data, analyze results and present study findings.  To fulfill this requirement, the resident must complete a project with subsequent preparation of a publishable manuscript. In addition to conducting and presenting research, residents are required to submit a manuscript for publication over the course of the year. This publication may be a research report, review article, case report, or drug/therapeutic update based upon work done during the residency year. 

Seminars and Professional Meetings

Residents may attend weekly case conferences (depending on prior knowledge in topic area). Each resident is required to attend and evaluate a number of pharmacy student seminar presentations throughout the year (required number will vary from year to year).  Residents attend the North Carolina Association of Pharmacists annual meeting (October/November), the American Society of Health-System Pharmacists Midyear Clinical Meeting (December), and the UNC ESOP Research in Education and Practice Symposium (May).  Residents may attend an additional meeting (e.g., American College of Clinical Pharmacy meeting), depending on therapeutic interest. Participation in resident poster sessions is encouraged at these meetings.

Residents are allotted a travel stipend each year, the amount for which varies from year to year. 

Service

Residents participate in resident-driven and organized evening activities offered to underserved populations in the community, including participation in the Inter Faith Council (IFC) Shelter and the Student Health Action Coalition (SHAC). The IFC Shelter provides temporary, overnight housing and meals, while also offering general and psychiatric clinics to be utilized by its residents. The SHAC clinic is the oldest student-coordinated health service in the U.S., providing free multidisciplinary, comprehensive medical care to the underserved community of Chapel Hill.  UNCH residents volunteer at the clinics an average of 2-3 times during the year, helping disadvantaged patients with medication-related issues, assisting physicians with medication-related decisions, and precepting students during the medication dispensing and counseling process.

Mentorship

The residency program at UNC has a strong history of mentorship, and this ideal is built into nearly all aspects of residency training.  Each resident will have multiple mentors for multiple purposes. Mentors are chosen by the residents for research projects, presentation development and personal mentorship. The personal mentor exists to guide the resident through the academic year. This mentor is an individual who can answer questions, provide feedback, and counsel residents on how to approach the many challenging parts of the residency year. Resident mentors participate in a program-wide resident progression committee that monitors the growth and development of residents over the course of the year.

Requirements for Certificate Receipt

  • Satisfactory achievement of 85% of the ASHP Educational Outcomes, Goals, and Objectives for PGY2 Ambulatory Care Pharmacy Residency Programs
  • Successful completion of all required and elective rotations
  • Completion of a one-year research project or a pre-specified part of a multi-year research project and submission of it in manuscript form to the residency program director (RPD),
  • One ACPE-approved continuing education presentation
  • Completion of all staffing responsibilities (approximately 400 hours)
  • Submission of a manuscript to a journal or a similar activity (as approved by the RPD)
  • Completion of all electronic evaluations
  • Submission of all handouts / presentations completed throughout the year

Benefits

Each resident receives an annual stipend, two white coats, office space, a laptop computer, travel reimbursement for selected professional meetings, and 15 days of paid time off (PTO).  Residents are offered medical, dental, disability and life insurance policies and are covered under the University of North Carolina Hospitals comprehensive malpractice insurance.  In addition, residents are given an academic faculty appointment as a Clinical Instructor with the UNC Eshelman School of Pharmacy. As faculty members and employees of UNC hospitals, residents are eligible for discounts throughout the UNC Campus and in the community.

Qualifications

Applicants must have completed a Doctor of Pharmacy program from an ACPE-accredited school or college of pharmacy as well as an ASHP-accredited PGY1 pharmacy residency.  Applicants must also be eligible to practice pharmacy in North Carolina.  North Carolina pharmacy licensure is required for residents. 

Our Team

The pharmacists within our ambulatory care pharmacy network:

Jamie Cavanaugh,PharmD, BCPS, CPP

Jamie CavanaughJamie Cavanaugh,PharmD, BCPS, CPP

Clinical Specialist-Internal Medicine

Assistant Professor of Clinical Education-UNC Eshelman School of Pharmacy

Clinical Assistant Professor -UNC School of Medicine
Education:PharmD - UNC Eshelman School of Pharmacy - 2010
PGY1 - Durham Veteran Affairs Medical Center - 2011
PGY2 - UNC Hospitals - 2012

Preceptor for: Ambulatory Care, emphasis in care transitions

Rotation Description:

Emphasis is placed on providing the resident with direct patient care responsibilities in the UNC Internal Medicine Hospital Follow-up Clinic. Exposure to high risk patients with complex medical conditions and pharmacotherapy regimens is provided to the resident to expand core clinical skills, knowledge, and competencies. The resident will work within a multidisciplinary team including attending physicians, social workers, and nurses. Ensuring a safe transition from hospitalization to home during the 30 day period post-discharge will be a major focus for the rotation. The resident will be responsible for pharmacotherapy decisions, patient counseling, monitoring of drug therapy, and interdisciplinary communication to optimize therapeutic outcomes and reduce risk for rehospitalization.

Amanda Corbett,PharmD, BCPS, FCCP, CPP, AAHIVE

Amanda CorbettAmanda Corbett,PharmD, BCPS, FCCP, CPP, AAHIVE

Clinical Associate Professor-UNC Eshelman School of Pharmacy

Clinical Specialist-Infectious Diseases
Education:PharmD - Campbell University
PGY1 - Wake Forest Univ Baptist Medical Center - 2000
PGY2 - UNC - 2001
HIV Pharmacology Fellowship-UNC-2003

Preceptor for: Ambulatory Care-HIV

Rotation Description:

This practice is in the Infectious Diseases Ambulatory Care clinic at UNC Hospitals. The majority of patients are HIV + but also include HCV + and other infectious diseases.

Zack Deyo, PharmD, BCPS, CPP

Zack DeyoZack Deyo, PharmD, BCPS, CPP

Clinical Pharmacist Practitioner - UNC Heart and Vascular Center at Meadowmont

Adjunt Assistant Professor-Division of Pharmacy Practice and Clinical Education, UNC Eshelman School of Phrmacy
Education:PharmD - Wingate University - 2008
PGY1 - Medical College of Virginia(MCV)/Virginia Commonwealth University Health System (VCUHS) - 2009
PGY2 Ambulatory Care - University of Maryland - 2010

Preceptor for: Ambulatory Care, Cardiology

Rotation Description:

The UNC Heart and Vascular Center encompasses all clinical care of patients with cardiovascular diseases. This clinic is staffed by a collaborative group of cardiologists, vascular and cardiac surgeons, interventional radiologists, pharmacists, medical and pharmacy residents and fellows, nursing staff and support personnel. This cardiovascular ambulatory care site has pharmacist-led and interdisciplinary anticoagulation, heart failure, electrophysiology, hypertension and lipid disease state management clinics. Additional responsibilities include answering drug information questions for physician attendings and fellows and providing recommendations, counseling, and education to patients as needed. Learners are expected to actively participate in patient care, drug information queries, and administrative responsibilities.

Aimee Faso, PharmD, BCOP, CPP

Aimee FasoAimee Faso, PharmD, BCOP, CPP

Clinical Specialist - Hematology/Oncology Outpatient Clinic

Clinical Assistant Professor - UNC Eshelman School of Pharmacy
Education:PharmD - University of Florida - 2003
PGY1 - Dartmouth Hitchcock Medical Center - 2004
Ambulatory Care PGY2 - University of Maryland - 2010

Preceptor for: Ambulatory Oncology Infusion Clinic

Rotation Description:

No description.

Suzanne Francart, PharmD, BCPS, CPP

Suzanne FrancartSuzanne Francart, PharmD, BCPS, CPP

Clinical Specialist - Rheumatology Clinic

Clinical Assistant Professor - UNC Eshelman School of Pharmacy
Education:PharmD - Virginia Commonwealth University - 2011
PGY1 - UNC Hospitals and Clinics - 2012
PGY2 Pharmacotherapy - UNC Hospitals and Clinics - 2013

Preceptor for: Ambulatory Care, Rheumatology

Rotation Description:

At the UNC Rheumatology Clinic, patients with various autoimmune conditions are seen for outpatient follow-up. Residents will be involved in the preparation and distribution of chemotherapy and biologic medications for the rheumatology infusion center as well as counseling and education of these patients. The resident will also be involved in our specialty pharmacy program which includes conducting clinic visits for self-injection education and phone follow-up for medication adherence and efficacy. The resident will also conduct clinic visits scheduled with the CPP pharmacist, respond to drug information questions, and assist the providers and patients in overcoming barriers to medication procurement. Other activities will include projects pertaining to patient education and monitoring, clinic quality improvement and specialty pharmacy.

Tim Ives, PharmD, MPH, BCPS, FCCP, CPP

Tim IvesTim Ives, PharmD, MPH, BCPS, FCCP, CPP

Position - Description
Education:PharmD - University - Year

Preceptor for: Name of Rotation

Rotation Description:

Emphasis is placed on providing the resident with direct patient care responsibilities in the UNC Internal Medicine Clinic working in 3 primary disease management clinics - Anticoagulation, Diabetes (including comorbid conditions) and Chronic Pain. Exposure to the various primary care clinics are provided to the resident to develop core clinical skills, knowledge, and competencies. Continuity of care in an interdisciplinary team environment is a major focus of the rotation. The resident will be responsible for pharmacotherapy decisions, patient counseling, and monitoring of drug therapy to optimize therapeutic outcomes.

Jena Ivey-Burkhart, PharmD, BCPS, CPP

Jena Ivey-BurkhartJena Ivey-Burkhart, PharmD, BCPS, CPP

Clinical Specialist (clinic-based) - Geriatrics

Residency Program Director - PGY2 Geriatrics Pharmacy Specialty Residency

Adjunct Professor - UNC Eshelman School of Pharmacy
Education:PharmD - UNC Eshelman School of Pharmacy - 2004
Geriatric Specialty Pharmacy Residency - UNC Hospitals and Clinics - 2005

Preceptor for: Ambulatory Care, emphasis in Geriatrics

Rotation Description:

The Geriatric/Ambulatory Care rotation exposes learners to a variety of clinical settings that provide care to older adults. The pharmacist works as a CPP providing geriatric medication management and anticoagulation services to older patients. The pharmacist also works collaboratively within an interdisciplinary team learning how to meet the needs of older patients. The settings the pharmacist provides services at includes the UNC Geriatric Specialty Clinic and pharmacist-run clinics in a local continuing care retirement community.

RuthAnn Lee, PharmD, BCPS

RuthAnn LeeRuthAnn Lee, PharmD, BCPS

Clinical Specialist (clinic-based)- Solid Organ TransplantationEducation

Residency Program Director- PGY2 Solid Organ Transplant Pharmacy Specialty Residency

Clinical Assistant Professor - UNC Eshelman School of Pharmacy

Education:
PharmD - Ohio Northern University Raabe College of Pharmacy
PGY1 - University of Cincinnati Medical Center
PGY2- University of Cincinnati, College of Medicine Solid Organ Transplant Specialty Residency

Preceptor for: Ambulatory Care, Solid Organ Transplant Clinic

Rotation Description:

The outpatient solid organ transplant rotation is an ambulatory care rotation that will allow residents to integrate with a multidisciplinary transplant service and provide pharmaceutical care in an outpatient setting. This rotation offers residents an opportunity to develop advanced patient care management skills and provide comprehensive clinical pharmacy services for complex medical issues associated with solid organ transplant recipients. These services will include and are not limited to medication reconciliation, medication education, disease state management recommendations, therapeutic drug monitoring and interventions to provide optimal long term care in an outpatient transplant setting. This experience will allow residents to participate in the care of patients with various organ transplants including heart, lung, kidney, liver and pancreas.

Robb Malone, PharmD, CPP

Robb MaloneRobb Malone, PharmD, CPP

UNC HCS, VP Practice Quality and Innovation - No Description

Clinical Associate Professor - UNC Eshelman School of Pharmacy

Clinical Associate Professor - UNC School of Medicine
Education:PharmD - UNC School of Pharmacy - 1997
PGY1 - ECU School of Medicine, Family Medicine - 1999

Preceptor for: Ambulatory Care, Primary Care

Rotation Description:

Emphasis is placed on providing the resident with direct patient care responsibilities in the UNC Internal Medicine Clinic working in 3 primary disease management clinics - Anticoagulation, Diabetes (including comorbid conditions) and Chronic Pain. Exposure to the various primary care clinics are provided to the resident to develop core clinical skills, knowledge, and competencies. Continuity of care in an interdisciplinary team environment is a major focus of the rotation. The resident will be responsible for pharmacotherapy decisions, patient counseling, and monitoring of drug therapy to optimize therapeutic outcomes.

Lauren McKnight, PharmD, CPPL

Lauren McKnightLauren McKnight, PharmD, CPPL

Clinical Specialist, clinic-based - Pain Clinic (primary) Endocrine Clinic (secondary)

Clinical Assistant Professor - UNC Eshelman School of Pharmacy

Education:
PharmD - UNC School of Pharmacy - 2008
PGY1 - Emphasis in Primary Care – UNC Hospitals and Clinics - 2009

Preceptor for: Ambulatory Care, Pain Clinic

Rotation Description:

The UNC Hospitals Pain Management Center provides specialty care to patients with various chronic pain conditions. The resident will work with the clinical pharmacist to provide chronic pain medication management services to patients during independent visits via a clinical pharmacist practitioner (CPP) protocol. Pharmacy visits address efficacy and adverse effects of pain regimens, patient compliance with therapy with particular focus on opioid compliance monitoring, and adjustment of medications as necessary/appropriate. Individualized smoking cessation counseling and treatment is also provided.

Caron Misita, PharmD, BCPS, CDE, CPP

Caron MisitaCaron Misita, PharmD, BCPS, CDE, CPP

Clinical Specialist (clinic-based) - Endocrine Clinic (primary) Pain Clinic (secondary)

Residency Program Director - PGY2 Pharmacotherapy Specialty Residency

Clinical Assistant Professor - UNC Eshelman School of Pharmacy
Education:PharmD - Samford University McWhorter School of Pharmacy - 2003
Primary Care Specialty Residency - UNC Hospitals and Clinics - 2004

Preceptor for: Ambulatory Care, Endocrine Clinic

Rotation Description:

The UNC Hospitals Highgate Specialty Center, Diabetes Care and Endocrinology, provides specialized care to patients with diabetes and other endocrine disorders. The pharmacist-run clinic provides disease state management and cardiovascular risk reduction services to patients with diabetes, thyroid dysfunction, and osteoporosis. Pharmacist services are provided 4 to 5 days per week via a protocol-driven Clinical Pharmacist Practitioner agreement. At the conclusion of the rotation, residents are expected to demonstrate the ability to conduct an ambulatory care patient interview, form an assessment, and design, implement, and monitor medication therapy plans targeted to disease-specific outcome goals. Residents will provide direct patient care during clinic visits, advise physicians and other providers regarding optimal medication therapy, and deliver educational resources to patients and providers.

Betsy Bryant Shilliday, PharmD, CDE, CPP

Betsy Bryant ShillidayBetsy Bryant Shilliday, PharmD, CDE, CPP

Clinical Pharmacist Practitioner - Internal Medicine

Associate Professor of Clinical Education - UNC Eshelman School of Pharmacy

Associate Professor of Medicine - UNC School of Medicine
Education:PharmD - Campbell - 1998
PGY2 - Department of Veterans Affairs, W.G. (Bill) Hefner Medical Center, Salisbury, North Carolina - 1999

Preceptor for: Ambulatory Care, Primary Care

Rotation Description:

Emphasis is placed on providing the resident with direct patient care responsibilities in the UNC Internal Medicine Clinic working in 3 primary disease management clinics - Anticoagulation, Diabetes (including comorbid conditions) and Chronic Pain. Exposure to the various primary care clinics are provided to the resident to develop core clinical skills, knowledge, and competencies. Continuity of care in an interdisciplinary team environment is a major focus of the rotation. The resident will be responsible for pharmacotherapy decisions, patient counseling, and monitoring of drug therapy to optimize therapeutic outcomes.

Application

Instructions for the 2015-2016 application process:

Step 1

All applicants to ASHP-accredited pharmacy practice residencies must participate in the match process sponsored by the National Matching Service. Applicants must submit match agreements to the National Matching Service to obtain a match number.

Applications and Deadlines

Step 2

The UNC Hospitals will be participating in PhORCAS, the new ASHP residency online application tool. More information can be found at PhORCAS.

Step 3

A complete application will have the following information found through PhORCAS:

  • General information about the applicant
  • Cover letter
  • Response to essay questions
  • Curriculum Vitae
  • Pharmacy School Transcript
  • Three (3) references. Reference writers should complete the standardized Phorcas reference form only.
  • Current photograph (optional)

Application Deadline is January 1st.

Applicants must submit all required materials as well as uploading a document with answers to UNC-specific essay questions (see supplemental information above).

For more information contact:

Caron Misita

Caron Misita, PharmD, BCPS, CDE, CPP

Residency Program Director, PGY2 Ambulatory Care Residency
Clinical Pharmacist Practitioner, UNC Medical Center

Current residents

Sonalie PatelSonalie Patel
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