VA Nebraska-Western Iowa Healthcare System - Grand Island
Location: Grand Island, Nebraska
Preferred Education: PharmD
Residents will practice at the top of their license providing medication therapy management ambulatory care rotations and in the geriatric/subacute care setting. By the end of the year, residents will be well-versed in conducting patient interviews and establishing therapeutic plans. Disease states include: anticoagulation, hyperlipidemia, hypertension, diabetes and pre-diabetes, smoking cessation, congestive heart failure, thyroid management, pain management (including opioid tapers) and polypharmacy. Anticoagulation is exclusively managed by clinical pharmacists at the VA - residents will complete a month-long rotation in this clinic managing warfarin and DOAC therapies. Residents will complete two rotations on the Community Living Center (CLC). While working on the CLC floor, residents will gain experience working with geriatric patients in a sub-acute care setting. They will participate in daily rounds, pharmacokinetics, anticoagulation and other disease management, medication reconciliation, monthly drug-regimen reviews and participate in the interdisciplinary team. Residents will also get the opportunity for a month-long Pharmacy Management experience. During this rotation, residents will gain insight to the management team at the Grand Island VA through participation in several meetings and project completion. The required Mental Health rotation will provide the resident experience managing sleep disorders, anxiety, depression, benzodiazepine tapers and tobacco cessation. Residents will also gain exposure to substance use disorder in working with the patients completing the 30-day inpatient substance abuse treatment program (SARRTP).
Residents will have ample opportunity to refine presentation skills through the longitudinal Drug Information rotation. Residents will gain experience presenting to nursing, provider and pharmacy staff, as well as, APPE rotation students and group patient forums. The longitudinal Residency Project learning experience provides residents with the opportunity to work with a project mentor to develop a research or a quality improvement project (using the inverse model). This will be presented at the Midwest Pharmacy Residency Conference in May. Residents will be actively involved in formulary management throughout the course of the year.
Residents will have four elective opportunities, one of which is non-direct patient care. At or near the Grand Island VA, residents may choose to complete electives in home-based primary care (virtual), acute-care (non-VA hospital), as well as additional rotations in outpatient pharmacy, PACT, mental health, anticoagulation clinic or on the CLC floor. There are several virtual rotations that would be completed primarily from the Grand Island campus as well: Academic Detailing, Medication Safety (Lincoln/Grand Island). Residents may complete a Rural Ambulatory Care elective at the North Platte satellite clinic (housing subject to availability). The program also has preceptors at the Omaha and Lincoln VA's which allows for residents to choose offsite electives to help round out the residency experiences. Offsite electives include: Acute Care/Internal Medicine (Omaha), Inpatient Mental Health (Omaha), Cardiology/CHF Clinic (Omaha), Infectious Disease/Antimicrobial Stewardship (Omaha).
Following program completion, the resident will have well-developed skills in ambulatory care, geriatrics, formulary conversions, chronic disease state management, drug information, precepting, MUE, project work and general pharmacy practice.
- 13 days vacation - 13 days sick leave - 11 federal holiday off - Comprehensive benefits package (life, health, dental, vision insurance) - VA interview days - Travel expenditure to local residency conference