Postgraduate Year 2 Ambulatory Care Pharmacy Residency

University of Iowa Hospitals & Clinics offers an accredited PGY2 Ambulatory Care Pharmacy Residency. Patient-focused care is emphasized in this comprehensive training program conducted in a large academic health care system. It is designed to help residents build upon the knowledge and skills they developed as a PGY1 pharmacy resident. They will continue to develop the skills required to solve complex medication-related problems presented in health care today. Working in pharmacist-managed clinics and with members of multidisciplinary health care teams, residents will participate in the selection, assessment, and monitoring of patients’ drug therapy. Using the skills obtained through residency training, residents will be able to:

  • Establish a collaborative working relationship within a multidisciplinary practice setting
  • Provide effective, efficient, and evidence-based patient care
  • Use leadership and management skills to modify practice, develop policy, and optimize medication use
  • Provide education and teaching to other health care professionals in a practice site or in training 
  • Pursue board certification within ambulatory care

Residents will acquire new and more in-depth knowledge of ambulatory care, which will allow them to become proficient as an independent practitioner in this area. All graduates will be competent clinicians in providing comprehensive medication management services to ambulatory care patients. They also will have experience in a number of specialized primary care environments. Upon completion of this PGY2 program, residents will have the skills necessary to qualify for an ambulatory care clinical specialist position and at least a non-tenure clinical track faculty appointment associated with a health science college.

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Use these resources to find out more about the PGY2 Ambulatory Care Pharmacy Residency:

Rotation Experiences

This residency program provides residents with experience and training in delivering pharmaceutical care and ambulatory care services to patients within primary care clinics.

Residents have the opportunity to gain expertise in a variety of ambulatory care experiences. Longitudinal rotations include the anticoagulation and pharmacotherapy clinics. All residents will complete an academic preceptorship rotation and at least five additional elective experiences. Residents will individualize their training by selecting from more than 20 ambulatory care and specialty pharmacy experiences.

Learning experiences are selected based on the interest of the resident, availability, and interest of the ambulatory care clinic or service. The resident’s experience is further enhanced through the completion of a major research project, service commitment, and teaching opportunities.

Core Rotation Experiences

  • Academic preceptorship (seven weeks)
  • Anticoagulation Case Management Service (longitudinal)
  • Geriatrics assessment clinic (extended/longitudinal)
  • Pharmacotherapy clinic (longitudinal)

Elective Rotation Experiences

Learning experiences are available in various ambulatory care clinics. The amount of time spent in these areas may be tailored to the resident’s interest. The services that provide specialty pharmacy services are designated with an asterisk below and it is required that each resident do at least one of their elective rotations in one of these areas. Services/clinics that have a clinical pharmacist and other possible rotations:

  • Advanced cardiology
  • Allergy/immunology and drug allergy
  • Clinical cancer center*
  • College academic
  • Digestive diseases*
  • Family medicine
  • General cardiology/lipid
  • Geriatrics longitudinal
  • Hepatology*
  • HIV/virology*
  • Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) and pre-exposure prophylaxis (PrEP)
  • Medication assistance center
  • Neurology*
  • Pain medicine
  • Palliative care
  • Pediatric specialty clinic*
  • Pediatric hematology/oncology - BMT*
  • Pediatric hematology/oncology - hemophilia*
  • Pediatric pulmonary/cystic fibrosis clinic*
  • Rheumatology*
  • Transitional care
  • Transplant - abdominal*
  • Transplant - lung*
  • Others as available

Teaching

This residency program places an emphasis on developing the resident as a clinical educator in academia; therefore, residents will have many opportunities to develop their teaching and presentation skills. Residents are appointed to adjunct instructor with the University of Iowa College of Pharmacy, with access to informational, clinical, professional, and educational resources provided to UI College of Pharmacy preceptors. All residents are required to do an academic learning experience which focuses on clinical precepting. Residents are required to participate in the Pharmacy Educator Preparation Program for Residents and Fellows (PEPPR) in conjunction with the University of Iowa College of Pharmacy.  At the end of the year, residents who satisfy program requirements will receive a certificate of participation and will have a completed teaching portfolio of activities from the year.

Resident Teaching Opportunities Include:

  • Co-precept pharmacy students on ambulatory care introductory and advanced pharmacy practice experiences
  • Facilitate a therapeutics discussion for students on their ambulatory care rotations
  • Present didactic lecture(s) and facilitate laboratory sessions within various courses at the UI College of Pharmacy 
  • Deliver didactic lectures/discussions for medical and/or nursing students
  • Precept pharmacy students through pharmacy student organizations
  • Present a continuing education presentation

Learn more about the Pharmacy Educators Preparation Program for Residents and Fellows (PEPPR).

Research

Each resident is required to complete a yearlong research project during the residency year. The PGY2 research project will be more elaborate. Through this experience, residents gain experience in conducting research as well as presenting the project in a poster and podium format. The Residency Research Committee will be available to guide in the process.  

Selection of a project is based upon the resident’s interests and presentation of project ideas by residency preceptors. Residents will present their research project, or other applicable project, at the Vizient® meeting during the ASHP Midyear Clinical Meeting and as a platform presentation in the spring. Residents may also present their research at additional venues based on their interest and availability. The resident will provide a final manuscript write up prior to residency graduation. Publication in the medical literature is strongly encouraged.

Staffing

Residents are required to fulfill the service commitment (staffing) designed to ensure that residents gain experience and can function as competent clinical practitioners. Residents have the opportunity to work in the ambulatory care pharmacies and Specialty Pharmacy at UI Hospitals & Clinics. This practice component represents a longitudinal learning opportunity within the framework of the residency program.  Service commitment is crucial to the development of professional practice skills. The resident will gain proficiency in medication distribution and clinical skills, personnel management, and leadership skills. Staffing requirements are as follows, but requirements are subject to change:

  • Every fourth weekend on a rotating basis in the Discharge Pharmacy and one evening (3 to 7 p.m.) per week doing Specialty Pharmacy patient telephone management. The resident will staff one additional weekend in the Discharge Pharmacy in July.
  • Residents will staff additional days around the holidays in December and will staff three days during spring break.
  • Residents will serve as the ambulatory care clinical specialist on call for at least two weeks per year upon completion of orientation.

How to Apply

Candidates will need to complete an application through the Pharmacy Online Residency Centralized Application Service (PhORCAS). This PGY2 Ambulatory Care Pharmacy Residency is preferentially offered as an option for early committal from the UI Hospitals & Clinics PGY1 Pharmacy Residency. Therefore, availability of positions will be based upon early commitment from current PGY1 residents at UI Hospitals & Clinics.

Materials Required:

  • PhORCAS application form
  • Letter of intent
  • Three reference submissions within PhORCAS
  • Official pharmacy college/school transcripts
  • Curriculum vitae
  • A minimum of one letter of recommendation must be from a clinical preceptor

Application materials must be received by January 1. An on-site interview is required and will be granted based on the review of application materials. Applicants must register for the ASHP matching program handled by the National Matching Services, Inc. Rankings must be submitted by the deadline.

  • PGY2 Ambulatory Care Pharmacy Residency NMS code: 525865

Candidate Qualifications

  • Graduate of an ACPE-accredited Doctor of Pharmacy degree program or have equivalent educational qualification as determined by the residency program director with a minimum 3.0 GPA.
  • Licensed or eligible for licensure in Iowa by the residency start date. Please see the Iowa Board of Pharmacy website for complete qualifications.
  • Completion of the ASHP-accredited PGY1 pharmacy residency.
  • Adhere to the rules of the resident matching program process.
  • Candidates who require a Visa will not be considered. Pharmacy Residency positions are not eligible for University sponsorship for employment authorization.

Contact Us

Deanna McDanel, PharmD, BCPS, BCACP
Clinical Pharmacy Specialist, Ambulatory Care
Clinical Associate Professor, University of Iowa College of Pharmacy
PGY1 Pharmacy Residency Program Coordinator
PGY2 Ambulatory Care Pharmacy Residency Program Director
deanna-mcdanel@uiowa.edu

Michelle Miller, PharmD, BCACP
Clinical Pharmacy Specialist, Ambulatory Care
Adjunct Assistant Professor, University of Iowa College of Pharmacy
PGY2 Ambulatory Care Pharmacy Residency Program Coordinator
michelle-l-miller@uiowa.edu 

Current Residents