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Miami VA Healthcare System

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Pharmacy Practice Residency Program

The Miami VA Healthcare System Pharmacy Practice Residency is accredited by the American Society of Health-System Pharmacists (ASHP) and spans one year providing a minimum of 2,000 hours of orientation, instruction and experience in adult clinical pharmacy practice.  The program emphasizes training in various aspects of pharmacotherapy within the acute, chronic and ambulatory care settings.  During each rotation, and under the guidance of their preceptors, the resident will function as a Clinical Pharmacy Specialist with all associated responsibilities.  Residency preceptors, in concert with the Program Director, will evaluate the resident’s progress and identify areas of competence and deficiency.

Purpose Statement for Pharmacy Residents

Pharmacists completing this residency will be:

  • Competent and confident clinicians in providing optimal medication therapy outcomes in patients.
  • Accountable and responsible for assuring the appropriate, safe, and economic use of medications through the application of knowledge, and specialized skills, and functions in direct patient care.
  • Proficient to participate in educating other health care practitioners on medication related topics.
  • Exhibiting professional maturity and leadership skills by strengthening their professional values and attitudes, monitoring their own performance, and demonstrating commitment to the pharmacy profession.

Resident Qualifications

All candidates must possess a Pharm.D. degree from an American Council of Pharmaceutical Education (ACPE) accredited college or school of pharmacy. Applicants must be United States citizens and possess a valid license to practice pharmacy or become licensed in the United States, Puerto Rico, or the District of Columbia before August 1st of residency year. Applicants must be a member of the American Society of Health Systems Pharmacists.

Candidates will be evaluated on the following basis: professional competence, ability to communicate, ability to work cooperatively in a team setting, expressed understanding of the profession, extracurricular activities, and scholastic achievement. Residency candidates must participate in and adhere to the rules of the Residency Matching Program process.

Pharmacy Practice Residency Structure

Orientation

  • Hospital Orientation
  • Pharmacy Services Orientation
  • Residency/RLS Orientation
  • Inpatient/Ambulatory Skill Verification
  • Hospital Computer Program Orientation
Core Rotations

  • Internal Medicine I & II
  • Ambulatory Care
  • Critical Care
  • Home Based Primary Care Geriatrics
Elective Rotations

  • Pain
  • Nutritional Support
  • Surgery
  • Oncology
  • ID/Special Immunology
  • Administration
  • Anticoagulation
  • Ambulatory Care II
  • Neurology
  • Endocrinology
  • Advanced Critical Care
  • Internal Medicine III
  • Psychiatry
Longitudinal Experience

  • Drug Policy/Drug Information
  • Ambulatory Care
  • Projects/Journal Club
  • Hospital Pharmacy, Staffing
  • Practice Management
Presentations/Meetings

  • ASHP Midyear Clinical Meeting
  • Regional Residency Conference
  • FSHP Midyear Clinical Meeting
  • Dade County Residency Forum
  • South Florida Residency Symposium

Employee Benefits

Stipend: Estimated $40,000

Annual Leave

As a full time employee, the resident earns annual leave at four hours per pay period, or 13 days per year. Five days will be accrued after 6 months. This allotment includes leave time granted for interviewing for positions. Request for leave must be initiated four weeks prior to departure. The resident will discuss the request with the Program Director and rotational preceptor to ensure that rotation objectives will be met.

Sick Leave

As a full time employee, the resident earns sick leave at four hours per pay period, or 13 days per year. When the resident is unable to work, as a result of illness, either on their rotation or staffing assignment, he or she should contact the Program Director as soon as possible.

Service Commitment

Residents represent Pharmacy Service as Clinical Pharmacy Specialists, functioning throughout the Medical Center and interacting with a variety of staff from different professional and organizational levels, as well as patients.  In addition, residents function as staff pharmacists in the intravenous and sterile products section on their assigned weekends.

Recruitment and Selection of Residents

  • The Pharmacy Service will participate in the National Matching Program for Pharmacy Residents of the American Society of Health Systems Pharmacists (ASHP).
  • The Pharmacy Service will participate in the Residency Program Showcase at the ASHP Midyear Clinical Meeting for the purpose of recruiting qualified applicants and providing onsite interaction with prospective residents.
  • At the ASHP Midyear Clinical meeting, the Program Director, current residents and preceptors in attendance will participate in the recruitment of candidates for the residency program.
  • Residency candidates may apply through the Pharmacy Online Residency Centralized Application Service (PHORCAS). The online application must include a CV, a personal statement about the applicant’s professional goals and objectives, college transcripts, and three online recommendations. 
  • Application submissions should be completed prior to Jan. 10. The matriculation date is July 1.  For more information, please contact Dr. Carmela Jean at 305-575-7000, ext. 6088, or carmela.jean@va.gov or write to the Miami VA Healthcare System, Pharmacy Service (119), 1201 N.W. 16th St., Miami, FL 33125 (Attention: Director, Pharmacy Practice Residency Program).
  • Resident candidates will be invited for an on-site interview.  The one-day interview will include meeting with the Chief of Pharmacy Service, Program Director, Residency Preceptors, and the current group of residents.  Applicants will be notified by February 5th if no interview is to be scheduled.
  • After the interview process is completed, the interview groups will meet to discuss and evaluate each candidate. A single ordinary rank list of all candidates will be generated by the Program Director.
  • The Chief of Pharmacy Service will review and approve the resident ranking.
  • The Program Director will submit the final rank list to the Resident Matching Program

Residency Assessment

Once the resident starts the residency, he/she will complete the Resident Self-Evaluation and Planning Form and return it to the Program Director. The purpose of this assessment is to identify the resident’s areas of strength and deficiency. The information will be used to plan for the resident’s rotations and individualize the resident’s program year.

The performance of the resident is based upon the use of predetermined goals and objectives based on the ASHP Residency Learning System Goals and Objectives.  The preceptors practicing in a particular rotation select specific objectives to be evaluated during their rotation.  The resident and preceptor will meet periodically to evaluate the resident’s progress on their rotation as well as review criteria-based checklists performed during the rotation.  After completing the rotation, the preceptor will evaluate the performance of the resident using the “Summative Evaluation” form.  The evaluation form will be reviewed and signed by the resident and preceptor then forwarded to the Program Director for concurrence.  The resident will complete the “Preceptor and Learning Experience Evaluation” form, which shall be discussed with the preceptor and Program Director.

Quarterly evaluation sessions with the resident, preceptors, and Program Director will be scheduled to review and assess the resident’s progress towards meeting program requirements using the residency evaluation tracking tool and resident quarterly evaluation form.

Residents will be asked to evaluate the program at the end of the residency year, but are encouraged to address program issues with the Program Director at any time during the year.

Residency Program Certificate

Upon successful completion of all program requirements and compliance with all conditions of the residency program, the resident will be awarded a certificate indicating successful completion of the Residency in Pharmacy Practice.

Residents who fail to complete program requirements and do not comply with all conditions of the residency program will not be awarded a certificate of completion of the residency program.

Postgraduate Year One (PGY1) Pharmacy with focus in Mental Health PACT
Postgraduate Year Two (PGY2) Mental Health PACT

Accreditation Status:
PGY1 with focus in Mental Health PACT accredited
PGY2 (NEW) pending accreditation

Program Purpose

The Postgraduate Year Two (PGY2) Psychiatry Residency Program at the Miami VA Healthcare System is designed to transition the PGY1 resident graduates from general practice to specialty practice focusing on the care of patients with psychiatric disorders. It is a one-year program of full-time education and training that includes extensive experience in providing comprehensive pharmaceutical care within the specialty areas of psychiatry and primary care in the veteran population. This residency position expands learning experiences beyond traditional acute inpatient and outpatient psychiatry clinics, and substance abuse, to include a psychiatric pharmacy resident in the Patient Aligned Care Team (PACT) clinics.

The inter-professional mental health team consists of psychiatrists, psychologists, social workers and pharmacists. This group works collaboratively and offers assessment, patient education, didactics and journal club reviews. The resident spends about 40-50% of their time in outpatient clinics including referrals from Mental Health in Primary Care PACT teams and Smoking Cessation Clinics.

Graduates of the PGY2 Psychiatry Pharmacy residency should be well prepared to initiate and establish a successful clinical pharmacy service in diverse healthcare settings and provide exemplary patient-centered medication therapy. A resident who successfully completes this accredited PGY2 Psychiatric clinical residency should have the necessary knowledge base to become a psychiatric clinical specialist or clinical faculty member and obtain board certification in Psychiatry through BCPP certification.

This program is designed to lead the resident through a variety of monthly and longitudinal practice experiences. By the end of the program, the resident should feel competent practicing in inpatient and outpatient settings involving psychiatric pharmacotherapy with added experience in geriatric psychiatry. The residency includes core and longitudinal rotations that are chosen to establish a strong base in psychiatric disorders and to master each of the disease states established within the ASHP Practice Standards for a Specialized Residency in Psychiatry.

Core Rotations

  • Inpatient Psychiatry
  • Psychiatry Consult Service
  • Residential Rehabilitation Programs

Longitudinal Experience

  • Ambulatory Care Outpatient Psychiatry
  • Practice Management
  • Primary Care Mental Health Integration
  • Research and Project Management
  • Smoking Cessation

Elective Rotations

  • Child/Adolescent Psychiatry
  • Crisis/Emergency Medicine
  • Geriatric Psychiatry
  • Home Based Primary Care
  • Homeless PACT Psychiatry
  • Mental Health Intensive Case Management (MHICM)
  • Neurology
  • Outpatient Substance Abuse Treatment (OSAC)
  • Pain Management
  • PTSD Clinic

Residency Information
Residency Program Director: Carmela Jean, carmela.jean@va.gov
Duration/Type: 12 mo/residency
Start Date: July 1
Number of positions: one (1) PGY1 position and one (1) PGY2 position
Estimated Stipend: $40,000 / 47,000
Fringe Benefits: Two weeks of vacation per year, 10 paid holidays, travel allowances for selected meetings and seminars.

Recruitment and Selection of Residents
Applications accepted through the pharmacy online residency centralized application service (PHORCAS) by submitting a CV, a letter of intent (a personal statement about the applicants professional goals and objectives), college transcripts, and 3 completed recommendation forms (no letter required).
Interview Required: Yes
Application Deadline: January 10th
Special Requirements for Acceptance: the applicant must possess a Pharm.D. degree and be a United States citizen eligible for licensure in any one of the 50 states of Puerto Rico.

Postgraduate Year Two (PGY2) Health System Pharmacy Administration

Accreditation Status:
PGY 2 (NEW) pending accreditation

Purpose
This specialty residency is designed to enable the resident to develop the professional skills necessary to serve in a pharmacy clinical or operational leadership role. It includes exposure to national, regional, and local activities that are directed to support team management, regulatory compliance, performance measure monitoring and compliance, and resource management. Upon completion of the program, the graduate shall be able to develop, implement, and manage clinical and operational pharmacy services while employing newly developed skills in personnel management and development, communication, resource management, fiscal management, regulatory compliance, and program development.

Residency Information
Residency Program Director: Mara Z. Carrasquillo, mara.carrasquillo@va.gov
Duration/Type: 12 mo/residency
Start Date: July 1
Number of positions: One (1) PGY2 position
Estimated Stipend: $47,000
Fringe Benefits: Two weeks of vacation per year, 10 paid holidays, travel allowances for selected meetings and seminars.

Core Rotations

  • Ambulatory Care Leadership
  • Internal Medicine
  • Clinical Inpatient and Outpatient Pharmacy Management
  • Pharmacoeconomics
  • Budget and Procurement
  • Controlled Substance Management
  • Pharmacy Leadership and Administration

Longitudinal Experience

  • Ambulatory Care/PACT Management
  • Academia Experience
  • Quality Management, Medication Safety and Regulatory Compliance
  • Research and Project Management Residency Program Development

Recruitment and Selection of Residents
Applications accepted through the pharmacy online residency centralized application service (PHORCAS) by submitting a CV, a letter of intent (a personal statement about the applicants professional goals and objectives), college transcripts, and 3 letters of recommendation (1 must be from current PGY-1 Residency Program Director).
Interview Required: Yes
Application Deadline: Jan. 10
Special Requirements for Acceptance: The applicant must possess a Pharm.D. degree, pharmacist licensure in any one of the 50 states or Puerto Rico, complete an ASHP accredited PGY-1 Pharmacy Residency Program, and be a United States citizen.

Contact

Dr. Carmela Jean
Residency Program Director
305-575-7000 Ext. 6088
Carmela.Jean@va.gov