Resources

PGY-2 Ambulatory Care Residency

Pharmacy in Downers Grove


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

Residency Program Director 
Jill S. Borchert, Pharm.D., BCACP, BCPS, FCCP
, e-mail at: jborchert@midwestern.edu
Vice-Chair and Professor of Pharmacy Practice

Residency Program Coordinator
Jacob P. Gettig, Pharm.D., MPH, MEd, BCPS, CHCP, e-mail at: jgetti@midwestern.edu
Associate Dean for Postgraduate Education and Professor of Pharmacy Practice 


Program Purpose

PGY2 pharmacy residency programs build on 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:

Specific Program Features

Throughout the year, the resident will practice at one primary site (8 months of the year) and supplement this experience with electives (4 months of the year). Longitudinal learning experiences are incorporated throughout the year. An overview of the structure of the residency program can be downloaded here

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
Advocate - Dreyer Medical Clinic (NMS match # 710665)
2285 Sequoia Drive, Aurora, IL, 60506
Clinical Site Coordinator: Lea dela Pena, Pharm.D., BCPS
Midwestern University 
555 31st Street, Downers Grove, IL, 60515

Elective Practice Sites

Advocate Medical Group - Beverly Clinic  
9831 S. Western Avenue, Chicago, IL, 60643
Midwestern University MultiSpecialty Clinic
3450 Lacey Road, Downers Grove, IL, 60515
Northwestern Memorial Hospital 
251 E. Huron Street, Chicago, IL, 60611
Advocate Lutheran General Hospital 
1775 Dempster Street, Park Ridge, IL, 60068

General Descriptions of Primary Practice Sites and Core Required Learning Experiences

Ambulatory Care (AC) Learning Experiences 1-4
Length of Learning Experiences - AC 1: 1.5 mo; AC 2: 2 mo; AC 3: 3 mo; AC 4: 1 mo 
Advocate Medical Group - Southeast Clinic (Chicago, IL)
Preceptor:
  Christie Schumacher, Pharm.D., BCACP, BCPS, CDE, BC-ADM
This is a primary care patient-centered medical home practice in which pharmacists provide patient care 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, hyperlipidemia, hypertension, asthma, anticoagulation, and COPD. 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 the dietitian in diabetes education classes for patients.

Ambulatory Care (AC) Learning Experiences 1-4
Length of Learning Experiences - AC 1: 1.5 mo; AC 2: 2 mo; AC 3: 3 mo; AC 4: 1 mo 
Advocate - Dreyer Medical Clinic 
(Aurora, IL)
Preceptors: Lea dela Pena, Pharm.D., BCPS; Jennifer D'Souza, Pharm.D., CDE, BC-ADM; Jill S. Borchert, Pharm.D., BCACP, BCPS, FCCP; Kathy Vest, Pharm.D., BCACP, CDE
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 interprofessional medical home visits. Other roles for the pharmacist include Annual Wellness Visits, answering drug information questions and providing in-services.

General Descriptions of Required Longitudinal (12 month) Learning Experiences

Ambulatory Care Administration Learning Experience
Preceptors: Jill S. Borchert, Pharm.D., BCACP, BCPS, FCCP; Mary Ann Kliethermes, Pharm.D.
This rotation is a longitudinal administration learning experience that allows the resident to experience the variety in 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. To facilitate this, a checklist of activities for the learning experience will be completed by the resident and primary preceptor on a quarterly basis. Clinic-based activities may occur at the primary practice site, elective practice site or other location 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
Preceptor: 
Jacob P. Gettig, Pharm.D., MPH, MEd, BCPS, CHCP
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 College Residency Advisory Committee (CRAC). 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/fellows receive a Visiting Instructor appointment 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. All residents receive an adjunct appointment as Visiting Instructor in the Department of Pharmacy Practice. The residents have the opportunity to lecture in Pharmacotherapeutics (~200 students) and facilitate various applied workshops either in Pharmacotherapeutics or Institutional Pharmacy. The PGY2 critical care residents also lecture in the Critical Care elective, to a class of about 60 students. Residents also participate as resident mentors and graders in the Postgraduate Training Opportunities for Pharmacists, which is an elective offered to second and third professional year pharmacy students in the fall quarter. The residents write exam questions and participate in item analysis of questions for the lecture they teach. Other opportunities may be given to the residents depending on their personal 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 entire 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 and to assess the residents' knowledge of drug therapy to treat and prevent disease for a selected topic.  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 PMLC, residents must:


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 with some months dedicated solely to research.  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:

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

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

Elective Learning Experiences
Residents are able to complete an elective experience at the primary site of their co-resident (e.g., AMG-SE resident can complete an elective at Advocate Dreyer). Other elective experiences are described below.

Advanced Ambulatory Care Administration Elective Learning Experience
Length of Learning Experience - 1 to 2 months
Advocate - Dreyer Medical Clinic
Aurora, IL

Preceptors: Courtney J. Patterson, PharmD, MBA, BCOP; Tasha Williams, PharmD

In this multi-specialty group practice the resident will work collaboratively with the pharmacy manager to ensure the safe storage and administration of medications, prepare and review budgets, provide education on new medications, oversee regulatory requirements and set strategy for all pharmacy functions at the clinic. The resident will be responsible for developing and implementing project ideas.  As the learning experience progresses, the resident will be responsible for presenting completed projects to various management leaders including Chief Medical Officer, Chief Financial Officer, Manager of Operations, etc. This may include creating strategic plans, preparing presentations, completing readings for topic discussion and leading various projects. Development of projects should take into consideration feasibility, cost, clinical knowledge, and safety among other considerations. The resident will be expected to integrate new knowledge of business principles throughout the rotation. 

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
This potential elective learning experience would be with the Drug Information Pharmacist Advocate Lutheran General. The purpose of this rotation 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, utilize 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.  

Chronic Care Elective Learning Experience
Length of Learning Experience - 1 to 2 months
Advocate Medical Group – Beverly

Preceptors: Margaret Felczak, Pharm.D., BCPS; Brian Cryder, Pharm.D., BCACP, CACP
These pharmacy clinics provide point-of-care management of anticoagulation therapy for internal medicine and cardiology patients in an integrated healthcare system. Pharmacists, residents, and students are involved in patient education, drug therapy management, and patient follow-up in order to improve drug therapy outcomes.

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., BCACP; Jennifer 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 not limited to, are screening high risk patients, providing comprehensive medication reviews, assessing potential drug interactions, providing educational learning tools to the dental students, and collaborating 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 counseling.  This rotation 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 rotation is a concentrated advanced academia learning experience that allows the resident to practice skills required to function in an academic environment. This rotation goes beyond the concepts in the Teaching and Learning Curriculum 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
Preceptors
: Lea dela Pena, Pharm.D., BCPS, Christie Schumacher, PharmD, BCPS, BCACP, BC-ADM, CDE
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 health care 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

Jill S. Borchert, Pharm.D., BCACP, BCPS, FCCP
Director, PGY2 Ambulatory Care Residency Program
Midwestern University Chicago College of Pharmacy
555 31st Street
Downers Grove, IL 60515
jborchert@midwestern.edu