The PGY1 pharmacy residency program is a one year ASHP-accredited residency designed to prepare residents to practice beyond entry-level professional competence by building upon the knowledge, skills, attitudes, and abilities gained during a professional pharmacy degree program. The majority of experience is gained in the ambulatory care setting.
The resident is actively involved in the provision of pharmaceutical care by providing direct patient care, drug information, participating in system and management operations, and working on assigned projects. Through actual experience, the resident learns how these activities are interrelated and is best coordinated with other disciplines involved in the medication-use process. The program enhances general competencies in managing medication-use systems; patient care; advancing practice and improving patient care; leadership and management; and teaching, education, and dissemination of knowledge. It emphasizes the development of skills to practice as a general clinical pharmacist or to practice in an ambulatory care setting.
The residency structure is largely longitudinal. The goal is to provide the resident experience in time and resource management and to provide a realistic practice model for practitioners.
Specific advantages to the longitudinal structure are outlined below.
Resident has time to build confidence and experience in the practice area
Resident has the opportunity to integrate elements of a full practice
Offers sufficient practice time for the Resident to develop independent problem-solving skills
Patterns of practice become evident to the Resident
Offers depth of experience
Preceptors have sufficient time to assess growth of skills
There are five broad areas that will be completed during the residency: practice foundation skills, practice management, direct patient care, and drug information and policy development. Practice areas often overlap during the course of the program. The program is structured so that pharmacists receive a well rounded clinical, administrative, and practice management experience. Residents will have gained experience in managing a variety of disease states in a diverse patient population, with simple to complex problems.
Areas of Focused Studies
Orientation is a required two week rotation. A formal orientation program will be scheduled for the first two weeks of residency to orient the resident to the residency position, residency manual, policies and procedures, and resident program planning. The second week of orientation will coincide with other residency requirements.
Practice Foundation Skills
Practice Foundation Skills is a required longitudinal, 12 month experience. It includes a general category that includes professional conduct and demeanor, project management skills, manuscript preparation, effective communication and presentation skills, and other areas of professionalism that are important for success and interaction with other health care professionals. These practice skills are also evaluated in other rotations. This learning experience is longitudinal and will coincide with other residency requirements.
Practice Management is a required 8 week rotation. It includes operational services such as dispensing, compounding, performance improvement, drug delivery, computer systems and automation, personnel management, purchasing and inventory, operations management, and contracts. An overview of the medication-use process is also provided including drug distribution and pharmaceutical care services provided at the facilities.
The staffing rotation is a required longitudinal, 10 month experience which is designed to familiarize residents with duties and responsibilities associated with a staff pharmacist.
Direct Patient Care
Focuses on patient-centered drug therapy management, drug information, and patient education. Practice areas include ambulatory care, anticoagulation, internal medicine, psychiatry, HIV, diabetes, and CKD. Ambulatory care is required and anticoagulation or psychiatry may be selected as the second required 10 month learning experience. Internal medicine is a required 6 month learning experience. Psychiatry, asthma/COPD, HIV, diabetes, anticoagulation and CKD are optional elective learning experiences.† The resident will select three, twelve week elective learning experiences. The resident may also elect to complete one optional acute care four week rotation at The University of Texas Medical Branch in Galveston, Texas during the third evaluation period.*
Drug Information & Policy Development
The Drug Information & Policy Development rotation is a required 6 month rotation, July through December. During the month of January, the resident will make any final presentations to P&T. The rotation includes services such as formulary management, information systems, drug information activities, clinical guideline development, medication use evaluations, adverse reaction surveillance, P&T Committee consulting, and drug-use policy and procedure development.
*If the resident completes the acute care rotation, then all other direct patient care rotations at UTMB-CMC will be temporarily suspended. Missed rotation days from longitudinal or elective learning experiences will not be made up for. All learning experiences are designed such that the resident is still able to receive satisfactory process on all rotation goals and objectives.
† A selected elective learning experience cannot be the same as a longitudinal learning experience. For example, the resident cannot select psychiatry as a longitudinal and elective learning experience.
The resident is required to research, prepare and submit a proposal with timeline for a research project within the first month of the program (Appendices A&B). The project will be selected taking into consideration the resident's interests, department needs, and approval of residency director and IRB. It may focus on clinical, administrative, practice, or management issues. The results of the project must be submitted in the format of a manuscript suitable for publication in a professional journal and is due by no later than two weeks before the program ends. The project will be considered complete when the stated objectives have been met. A residency certificate will not be awarded until the project is complete. In order to receive a residency certificate, the major project must be completed by the end of the final evaluation period.
The primary purpose of the project is to provide experience in practice based research, project management skills, manuscript preparation, and presentation at professional meetings. Additional preceptors may be assigned based on the research topic.
PharmD preferred, Texas licensure, CV, letters of recommendation, school transcripts, letter of intent, interview & presentation, background check, and pre-employment drug screen and vaccinations
About UTMB Health Correctional Managed Care
UTMB Correctional Managed Care:
Originally established as a partnership with the Texas Department of Criminal Justice in 1994, the UTMB CMC provides managed health care for offenders in adult and juvenile correctional facilities throughout the state including medical, dental, mental health, and pharmacy services.
CMC is also among the world’s leader in telemedicine and electronic medical records applications. With 4 million documented patient encounters per year, UTMB CMC is known for its innovative programs and creative solutions in the fields of correctional health care in jails, state prisons, juvenile detention centers and federal prisons.
UTMB - Correctional Managed Care Department of Pharmacy:
Comprehensive pharmacy services are provided to correctional facilities across the state. Distribution services are provided from a centralized facility in Huntsville, Texas. The facility incorporates automated technology that has eliminated pharmacist final check. This allows pharmacists to perform in-depth profile review and to provide other services that support the health care staff in ensuring safe and effective use of medications.
Clinical pharmacy services ...are decentralized. With a unique knowledge of medications, current research, and hands-on clinical experience, pharmacists develop solutions for managing pharmaceutical care. Services are designed to improve clinical outcomes and cost effectiveness.
A range of services are offered and include medication therapy management, academic detailing and educational programs, drug information, P&T Committee consulting, non-formulary consulting, formulary management, and clinical guideline development. The Department serves as a clinical internship site for pharmacy students and offers an ASHP accredited residency program. The staff includes 9 managers, 29 pharmacists, 8 clinical pharmacists, 1 resident and 87 support staff.