PGY2 Ambulatory Care Pharmacy Residency

Program Purpose

Midwestern University Chicago College of Pharmacy (Downers Grove, IL) offers a postgraduate year two (PGY2) ambulatory care residency program with a primary practice site at Advocate Medical Group - Southeast Clinic in Chicago, IL.

PGY2 pharmacy residency programs build on the Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in advanced or specialized practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).

The residency is designed to provide diverse experience in ambulatory care practice settings and disease states. Additionally, considerable time is spent in academia and education, providing residents with a foundation of the principles of teaching and learning - and practical experience to implement what residents have learned.

To accomplish this, residents typically spend four days per week at their clinical site and one day per week on campus involved in academic activities. Over the course of the year, the resident spends 8 months at their primary practice site and 4 months completing elective learning experiences.

Program Description

Outcomes

Upon completion of this residency, the resident should be able to:

  • Provide patient-centered comprehensive medication management services within a variety of settings in an ethical and compassionate manner that results in positive patient outcomes.
  • Demonstrate a commitment to teaching and the advancement of the profession of pharmacy.
  • Effectively communicate, verbally and in writing, with providers, patients, students, and other healthcare professionals.
  • Demonstrate skills needed to conceptualize, develop, and improve ambulatory care pharmacy services.
  • Demonstrate commitment to quality and professionalism through self-monitoring and self-assessment.

Specific Program Features

Throughout the year, the resident will practice at one primary site (8 months of the year) and supplement this experience with elective learning experiences (4 months of the year). Longitudinal learning experiences are incorporated throughout the year.

  • Orientation: The Residency Program Director (RPD) will provide an orientation to the primary practice site. The RPD will orient the resident to the program and expectations for successful completion. The Assistant Dean for Postgraduate Education will orient the resident to the Teaching and Learning Curriculum, Research Curriculum and Practice Management and Leadership Curriculum as well as administrative considerations and benefits. At the completion of this rotation, the RPD will collaborate with the resident to complete the customized development plan.
  • Ambulatory Care: Ambulatory Care rotations 1-4 occur at the primary practice site. Patient care services include the comprehensive management of heart failure, diabetes, hypertension, hyperlipidemia, asthma, COPD, smoking cessation as well as other outpatient internal medicine disease states in a patient-centered medical home model. Residents will have an opportunity to practice under a collaborative practice agreement and develop ongoing relationships with patients and other healthcare providers.
  • Research Project: Each resident must design and is expected to complete a research project under the guidance of a faculty preceptor who will be identified with the assistance of the program director. The project must relate to ambulatory care or pharmacy education and can be original research and/or enhancement or evaluation of patient care services.
  • Midwestern University Curricula

    • Teaching and Learning Curriculum: The Teaching and Learning Curriculum (TLC) is embedded in all of the Chicago College of Pharmacy residency programs. It is delivered through mini seminars, applied activities, and formative assessments throughout the yearlong residency program. Didactic teaching is evaluated by both content and delivery experts through use of standardized evaluation forms. Written and verbal feedback are provided to the resident. The TLC is directed by the Center for Teaching Excellence with the goal of providing opportunities for residents to gain the knowledge, attitudes, and skills they need to be effective teachers.
    • Teaching and Learning Activities: Residents implement what they have learned through the TLC by teaching in didactic and experiential settings. Residents provide instruction in small-group workshops and large-group didactic settings. Residents serve as preceptors for an Introductory Pharmacy Practice Experience rotation, where the resident precepts one group of students for one day per week for 10 weeks. In the second half of the residency, residents serve as a co-preceptor for students on an Advanced Pharmacy Practice Experience rotation.
    • Pharmacy Management and Leadership Curriculum: The Pharmacy Management and Leadership Curriculum (PMLC) is designed to support the residents' activities in pharmacy practice. Delivered through a series of seminars and applied activities, residents will gain an awareness of personal strengths and describe how to capitalize on their strengths. Management topics include comparing and contrasting management and leadership as well as styles of management. Contemporary issues in pharmacy practice, healthcare systems and professional advocacy will be highlighted.
    Research Curriculum: Residents participate in a seminar series with the residency program director and other instructors within the Research Curriculum (RC). Seminar topics include research methods, abstract writing, poster presentations, peer review and preparing manuscripts, among others.

Rotation Sites for Learning Experiences

Primary Practice Sites including Midwestern University

Advocate Medical Group - Southeast Clinic (NMS match # 710690)
2301 E. 93rd Street , Chicago, IL
Clinical Site Coordinator: Christie Schumacher, Pharm.D., BCPS, BCACP, CDE, BC-ADM, FCCP
Midwestern University 
555 31st Street, Downers Grove, IL 60515

Elective Practice Sites

Advocate - Medical Group West
2285 Sequoia Drive, Aurora, IL 60506 

Advocate Medical Group – Evergreen Center 
1357 W. 103rd Street, Chicago, IL 60643

Rush University Medical Center
1653 W. Congress Pkwy, Chicago, IL 60612

Advocate Lutheran General Hospital 
1775 Dempster Street, Park Ridge, IL 60068

Midwestern University MultiSpecialty Clinic
3450 Lacey Road, Downers Grove, IL 60515

Northwestern Memorial Hospital 
251 E. Huron Street, Chicago, IL 60611

 

General Descriptions of Primary Practice Site and Core Required Learning Experiences

Ambulatory Care (AC) Learning Experiences 1-4
Length of Learning Experiences - AC 1: 1.5 months; AC 2: 2 months; AC 3: 3 months; AC 4: 1 month
Advocate Medical Group - Southeast Clinic (Chicago, IL)
Preceptors:
  Christie Schumacher, Pharm.D., BCACP, BCPS, CDE, BC-ADM, FCCP and Alexandra Goncharenko, Pharm.D., BCPS, BCCP

This is a primary care patient-centered medical home practice in which pharmacists provide comprehensive medication management for a variety of chronic diseases through a collaborative practice agreement. Pharmacists are responsible for assessing and managing chronic disease states, including but not limited to, heart failure, diabetes, hypertension, hyperlipidemia, asthma, COPD, smoking cessation. Other responsibilities include answering drug information questions from patients and healthcare professionals, providing medication management consultation to physicians during primary care physician visits, providing medication reconciliation during post-hospital follow-ups, assisting in urgent care patient management, providing in-services on various pharmacy-related topics and assisting in the delivery of group diabetes education classes.

Publications related to primary practice site:


General Descriptions of Required Longitudinal (12 month) Learning Experiences

Ambulatory Care Administration Learning Experience

Preceptor: Mary Ann Kliethermes, Pharm.D., FAPhA
This rotation is a longitudinal administration learning experience that allows the resident to experience the variety of ambulatory care management activities performed by an ambulatory care pharmacist. It is the expectation that the activities that encompass this learning experience will occur both at the college and at the practice site. The primary preceptor will be responsible for working with the resident to ensure that appropriate activities to meet the objectives are identified and completed. Clinic-based activities may occur at the primary practice site, elective practice site or other locations, as appropriate, so that the preceptor can identify the most suitable activity for the resident. The resident will also participate in quarterly ambulatory care management topic discussions with a primary preceptor.

Midwestern University Curricula Learning Experience

Preceptors: Jacob P. Gettig, Pharm.D., MPH, MEd, BCPS, CHCP, and Jill S. Borchert, Pharm.D., BCACP, BCPS, FCCP

Teaching and Learning Curriculum
The Teaching and Learning Curriculum (TLC) is a multifaceted teaching certificate program embedded in all of the Chicago College of Pharmacy residency/fellowship programs.  It is delivered through mini seminars, applied activities, and formative assessments at critical times throughout the year. The TLC is directed by the Center for Teaching Excellence. The goal of the TLC is to provide opportunities for pharmacy residents, fellows and new faculty members to gain the knowledge, attitudes, and skills they need to be effective teachers. All residents receive an adjunct appoint as Visiting Instructor in the Department of Pharmacy Practice. The residents implement what they have learned by teaching in the classroom and in the practice setting. During the residency experience, the residents begin to develop a personal teaching style, assess the effectiveness of various teaching methods and develop a teaching portfolio. The residents provide didactic instruction and serve as co-preceptors for pharmacy students. The residents have the opportunity to lecture in the Pharmacotherapeutics course sequence (~200 students) and facilitate various applied workshops in either Pharmacotherapeutics or Institutional Pharmacy Practice. The residents write exam questions and participate in item analysis of questions for the lecture they teach. Residents also participate as mentors and assist in coursework assessment in the Postgraduate Training Opportunities for Pharmacists, which is an elective course offered to second- and third-year pharmacy students in the fall quarter. Other opportunities may be given to the residents depending on their professional interests. Residents serve as preceptors for an Introductory Pharmacy Practice Experience (IPPE) rotation (3-4 IPPE students/year), during which the residents precept students at their clinical site one day per week for the 10-week quarter. In the second half of the residency year, residents precept or co-precept 1 to 2 students on Advanced Pharmacy Practice Experience (APPE) rotations. 

Pharmacy Grand Rounds
The goal of Pharmacy Grand Rounds is to enhance the residents' ability to present complex concepts and scientific data in a clear, concise manner to a group of professional peers.  The audience consists of pharmacy residents, faculty, pharmacy practitioners, pharmacy students, and invited guests.  Each resident is required to give one formal presentation.  The resident is encouraged to select and discuss a current, clinically significant topic. The RPD and clinical site coordinators serve as project mentors. Each presentation is 25 minutes in duration plus 5 minutes for setup, questions and answers. Members of the audience are given an opportunity to evaluate the presentation using a standardized assessment instrument.  The resident is given feedback following the presentation by the RPD, clinical site coordinator(s) and/or identified content experts/mentors. Midwestern University Chicago College of Pharmacy accredits Pharmacy Grand Rounds for 0.5 contact hour of Accreditation Council for Pharmacy Education (ACPE) continuing pharmacy education credit, and thus, residents are expected to adhere to all instructions and guidelines related to developing an ACPE-accredited continuing pharmacy education activity.

Pharmacy Management and Leadership Curriculum
The Pharmacy Leadership and Management Curriculum (PMLC) is a series of application-based seminars focused on developing leadership and management skills.  Attendance and participation is expected of all residents, unless excused by the appropriate residency program director. The overall goal of the PMLC is to provide opportunities for pharmacy residents and fellows to gain the knowledge, attitudes, and skills they need to be effective leaders and managers within the profession of pharmacy. Individual seminars are scheduled throughout the year on campus. Several Midwestern University faculty will lead and facilitate these seminars.  In order to successfully complete the PMLC, residents must:

  • Attend and participate in the live seminars. Absentees are expected to make up any missed activities.
  • Chair or co-chair at least one meeting during the year.  Although the CCP Dean's Office will assist you with finding a meeting to chair or co-chair, it is ultimately your responsibility to complete this task.
  • Participate in and submit evidence of involvement in a medication use process project.  Examples of such projects are protocol/clinical pathway development, formulary reviews, and medication use evaluations, etc.  Evidence includes any written deliverables (e.g., documents, slides, etc.) that demonstrate your involvement in the project.

Research Curriculum
The Research Curriculum (RC) is embedded in the College's residency and fellowship programs. The seminars are taught by College faculty and are interactive in nature.  The goal of the RC is to prepare and support residents in their required research projects and to assist them in developing research skills. Specific seminar topics are listed later in this document.


Research Project Learning Experience

Preceptor(s): Varies based on research project mentor(s)
The residents work closely with research mentors, clinical site coordinators and the RPD to devise and conduct a research project.  This investigational project should be in the form of original research, but may include the development, enhancement, or evaluation of some aspect of pharmacy services.  The residents must obtain institutional review board (IRB) approval from the site in which the research will be conducted in addition to IRB approval from MWU prior to initiating the project.  The research project is completed throughout the residency year.  As a result of completing this project, the residents gain expertise in developing scientific hypotheses, designing protocols, acquiring institutional review board approval, collecting data, coordinating the research process, analyzing and interpreting data and preparing abstracts and manuscripts.  The residents may gain experience writing grants depending on the availability of grant opportunities. The project must relate to practice or education and can be one or more of the following:

  • Original research
  • Development, enhancement or evaluation of patient care services

The clinical site coordinators and RPD will be responsible for determining whether a research project meets these following criteria:

  • Project is a valuable and educational experience for the resident
  • Project is valuable to the profession of pharmacy
  • Project has a clear objective/hypothesis
  • Adequate resources (time, funding, data) exist to complete the project within the defined time period
  • Project can reasonably be completed by the end of the residency year
  • Project is of publishable quality, and publication will be pursued

The residents present the project four times during the residency year:

  • Fall Quarter: Research Project Proposal Seminar: Present the project to MWU faculty (20-30 minutes). The purpose is for the faculty to provide feedback that can be used to strengthen the project prior to finalizing the research protocol and submission to the necessary IRBs.
  • Late March/Early April: Research Project Practice Presentations: Present the project results to faculty, residents and other guests in a similar format to what would be expected at Great Lakes Pharmacy Residency Conference. Attendees provide feedback to the residents that they can use to improve their presentation before it is submitted to Great Lakes Pharmacy Residency Conference.
  • Late April: Great Lakes Pharmacy Residency Conference: Platform presentation to peers at the regional conference for all area pharmacy residents, preceptors and RPDs.
  • Early May: Kenneth Suarez Research Day: Poster presentation to faculty, peers and students at an annual event held on Midwestern University's Downers Grove campus. All pharmacy resident and fellow posters are judged, and the resident or fellow with the best poster receives a certificate of achievement and a monetary award from the Midwestern University Office of Research and Sponsored Programs.

A final report summarizing the objectives, background, methods, results and discussion of the project must be submitted to the RPD prior to completion of the residency program (approximately mid-June). This report should be in a manuscript form suitable for publication.

Examples of previous resident research projects:

Elective Learning Experiences

Chronic Care Elective Learning Experience

Length of Learning Experience - 1 to 2 months
Advocate - Medical Group West (Aurora, IL)
Preceptors: Lea dela Pena, Pharm.D., BCPSJennifer D'Souza, Pharm.D., CDE, BC-ADM; Jill S. Borchert, Pharm.D., BCACP, BCPS, FCCP
This is a multi-specialty group practice in which pharmacists provide patient care for a variety of chronic diseases through a collaborative practice agreement. Patients are referred to the Health Management Department for pharmacy appointments for the management of diabetes, hypertension, hyperlipidemia, bone health and polypharmacy or other drug therapy problems. Pharmacists also provide initial assessment, education and management for patients newly referred to the Anticoagulation Clinic and provide care in an interprofessional medical home model. Other roles for the pharmacist include insulin pump teaching, Annual Wellness Visits, answering drug information questions and providing in-services.

 

Ambulatory Care Cardiology Elective Learning Experience

Length of Learning Experience - 1 to 2 months 
Advocate Medical Group – Evergreen

Preceptor: Dejan Landup, PharmD, BCPS
This is a primary care practice in which the pharmacist provides patient care for a variety of cardiology-focused disease states through a collaborative practice agreement. The rotation will focus on optimizing the outcomes of patients with chronic cardiovascular disease through the provision of evidence-based, patient-centered medication therapy. The resident will learn how to order and interpret important cardiology-related tests, such as electrocardiograms and echocardiograms. Other responsibilities include answering drug information questions from patients and healthcare professionals, providing medication management consultation to physicians during primary care physician visits, providing medication reconciliation during post-hospital follow-ups and assisting in urgent care patient management.  

 

Population Health Elective Learning Experience

Length of Learning Experience - 1 to 2 months 
Rush University Medical Center
Chicago, IL

Preceptor: Klodiana Myftari, Pharm.D., BCACP
The Population Health Department at Rush University Medical Center is an interdisciplinary practice site with a focus on complex care management. Innovation, collaboration, accountability, excellence, respect and embrace of cultural and social diversity are the values of the practice. Pharmacist responsibilities within the team of registered nurses, licensed clinical social workers, patient navigators and primary care physicians, focus on medication optimization for high-risk patients. The pharmacy resident is integrated in all patient-care activities at this site. Services include transitions of care consultations, comprehensive medication reviews, chronic disease state management and patient education. Innovative practice models via telehealth, video visits, and virtual care team are implemented to provide care to our most vulnerable population. In addition, the resident participates in daily huddles with interprofessional teams of clinicians.  Pharmacy residents are actively involved in new pharmacy program development within the department. 

 

Medication Safety Elective Learning Experience

Length of Learning Experience - 1 to 2 months 
Advocate Lutheran General
 
Park Ridge, IL

Preceptor: Jennifer Phillips, Pharm.D., BCPS, FCCP
The purpose of this learning experience is to provide the resident with the knowledge and skills necessary to accurately and efficiently respond to requests for drug information, enhance written documentation skills, implement the philosophy of evidence-based medicine to critically evaluate the medical literature, understand the role of the P&T Committee in a healthcare institution, understand the Formulary Management Process, and identify actual and potential ethical barriers that pharmacists face in the course of their practice.  

 

Family Medicine/Dental Medicine MultiSpecialty Clinic Elective Learning Experience

Length of Learning Experience - 1 to 2 months 
Midwestern University MultiSpecialty Clinic
Preceptor: Lisa Palmisano, Pharm.D., BCACPJennifer Mazan, Pharm.D.
The interprofessional collaboration model of this site provides a unique clinical pharmacy practice experience.  The clinical pharmacist, resident, and students are involved in the daily practices with the dental and family/sports medicine clinic.  In the dental clinic, the pharmacy services which are provided include, but are not limited to, screening high risk patients, providing comprehensive medication reviews, assessing potential drug interactions, providing educational learning tools to the dental students, and collaborating in patient care with outside primary care providers.  In the family/sports medicine clinic, the pharmacist and the physician work together to enhance patient care.  Some of the collaborative visits include managing chronic disease states (i.e., diabetes, hyperlipidemia, hypertension, chronic pain, etc.), providing drug information, and patient education and counseling.  This elective experience offers the residents an opportunity to work directly with dental and medical students and providers in providing collaborative patient care.

 

Infectious Diseases/HIV Clinic Elective Learning Experience

Length of Learning Experience - 1 to 2 months 
Northwestern Memorial Hospital 
Preceptor: 
Milena McLaughlin, Pharm.D., M.Sc., BCPS, AAHIVP
The Northwestern Memorial Hospital Infectious Diseases Clinic is a multi-disciplinary setting composed of infectious diseases fellows, attending physicians, nurses, social workers and a pharmacist. The clinic serves over one thousand active patients that are treated for a spectrum of infectious diseases with the predominant patient population being treated for HIV. In addition, the majority of HIV-infected patients also receive their primary care for other chronic diseases at this site. This is an optimal setting for the pharmacist to work as part of a collaborative team to provide patient care. Pharmacists are involved in medication histories, patient and caregiver education, and the education of students, residents and fellows.

 

Academia Elective Learning Experience

Length of Learning Experience - 1 to 2 months 
Midwestern University Chicago College of Pharmacy
Preceptor: 
Kathy Komperda, Pharm.D., BCPS
This elective learning experience is a concentrated advanced academia learning experience that allows the resident to practice skills required to function in an academic environment. This learning experience goes beyond the concepts in the Teaching and Learning Curriculum by engaging the resident in course development and/or revision as well as advanced assessment design. Engagement in college or departmental curriculum committee work is an expectation. Activities arising from these committees will be incorporated into the learning activities.   

 

American Diabetes Association Diabetes Camp

PreceptorsLea dela Pena, Pharm.D., BCPS; Christie Schumacher, PharmD, BCPS, BCACP, BC-ADM, CDE, FCCP 
This is a week-long summer camp experience with a focus on education and medication management for children with type 1 diabetes mellitus (T1DM).  The camp is staffed by endocrinologists, endocrinology fellows, nurses, dieticians, and clinical pharmacists. Pharmacy residents assist with family and camper education, blood glucose monitoring, and medication administration and participate as a team member on the medical staff. This experience is designed to give the learner first-hand experience in managing children ages 4 - 9 with T1DM.  The learner is expected to collect camper information from caregivers/parents to facilitate the management of T1DM, educate the camper and parents on diabetes management, monitor camper blood glucose readings and adjust medication therapy based on carbohydrate consumption, physical activity and blood glucose levels throughout the day.  


Related Information

Faculty Appointment

Each resident will receive a faculty appointment as a Visiting Instructor in the MWU-CCP Department of Pharmacy Practice.

Accreditation Status

The residency program in PGY2 Ambulatory Care Pharmacy conducted by Midwestern University Chicago College of Pharmacy is accredited by the American Society of Health-System Pharmacists (ASHP).

Benefits

The residency includes 10 days of vacation and healthcare benefits. Memberships in ASHP and AACP are provided. Support is available to attend national meetings and regional/local meetings.

Duration

The 52-week residency begins on July 1 and ends on June 30 of the following year.

Qualifications of the Resident

Applicants must have graduated with the Doctor of Pharmacy degree, completed a PGY1 residency program and be eligible for pharmacist licensure in Illinois. The applicant must be motivated, self-directed and have excellent communication skills. An interest in teaching is essential.

Contact

Residency Program Director, PGY2 Ambulatory Care Residency Program

Christie Schumacher, Pharm.D., BCACP, BCPS, CDE, BC-ADM, FCCP 
Associate Professor of Pharmacy Practice
Midwestern University Chicago College of Pharmacy
555 31st Street
Downers Grove, IL 60515
cschum@midwestern.edu

 

Residency Program Coordinator

Jacob P. Gettig, Pharm.D., MPH, MEd, BCPS, CHCP
Associate Dean of Academic and Postgraduate Affairs and Professor of Pharmacy Practice 
Midwestern University Chicago College of Pharmacy
555 31st Street
Downers Grove, IL 60515
jgetti@midwestern.edu

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