Residency Showcase Program Listings

The Fulton State Hospital (FSH) PGY-2 Psychiatric Pharmacy Residency Program, in affiliation with the University of Missouri Psychiatric Center and Harry S. Truman VA Hospital, has one ASHP-accredited position available for one year beginning July 1st. The resident will work directly with patients suffering from treatment-resistant, severe mental illnesses, including schizophrenia, bipolar disorder, depression, anxiety, personality disorders, and developmental disorders. The majority of this residency takes place at Fulton State Hospital, Missouri’s only high-security forensic psychiatric facility and the largest (400+ beds) and oldest forensic state psychiatric hospital in the state of Missouri. Additional rotation sites include the University of Missouri Psychiatric Center for acute inpatient and child/adolescent psychiatry and the Harry S. Truman VA Hospital for pain management and substance abuse experiences. Psychiatric pharmacy experiences include long-term and acute forensic inpatient, outpatient, adult acute care, child and adolescents, geriatrics, developmental disabilities, pain management, substance abuse, and administration. The resident will spend extensive time participating in multidisciplinary treatment teams, providing patient medication education groups, and academic teaching (psychiatry residents, nurse practitioners, psychology interns, physician assistant students, medical students, and pharmacy students). Throughout the residency year, the resident will also serve on the following committees/panels: Trauma Specific Therapy Consultation Team, State Psychopharmacology Panel, Incompetent to Stand Trial (IST) Psychopharmacology Panel, FSH Psychopharmacology Panel, Antimicrobial Stewardship Program (ASP), and P&T Committee. Additionally, there will be an opportunity for the resident to have a longitudinal learning experience that provides the necessary skills to implement a pharmacy-managed laboratory that performs hematology monitoring for clozapine-treated patients. This experience focuses on the clinical and operational aspects of managing a clozapine laboratory and clinic. After successfully completing this learning experience, the resident will meet the CLIA qualifications to serve as a director or technical consultant of a non-waived laboratory performing moderate complexity testing. Upon completion of this residency program, the resident will be prepared to enter clinical practice in a variety of psychiatric specialty settings and possess competencies that enable the attainment of board certification. For additional information, please use the links below to visit our website or directly download our Residency Program Brochure.

Website: https://dmh.mo.gov/opla/pprp/psychiatric-pharmacy-residency-program

Residency Program Brochure: https://dmh.mo.gov/media/pdf/fsh-residency-program-brochure

Applicants should have a Pharm.D. degree, or equivalent experience, with completion of an ASHP-accredited PGY-1 Pharmacy Residency Program and be eligible for licensure in Missouri. Interested individuals must send a completed application and curriculum vitae via PhORCAS. Further information can be obtained by contacting the program director.

About Fulton State Hospital - PGY-2 Psychiatric Pharmacy Residency Program

Fulton State Hospital (FSH) is the oldest State Psychiatric Hospital west of the Mississippi River and has undergone a dramatic change that will impact the services the hospital provides over the coming decades. Our new, $211 million state-of-the-art facility opened in August 2019, has revolutionized the treatment we provide to the clients we serve. Currently, FSH houses approximately 420 clients across three buildings with two levels of security including: 1) Nixon Forensic Center (NFC), a high-security unit housing 300 clients, 2) the Sex Offender Rehabilitation and Treatment Services (SORTS), a high-security unit housing 100 civilly committed Sexually Violent Predators with room to expand to 200 clients, and 3) Hearnes Forensic Center (HFC), a minimum-security unit housing 20 clients with developmental disabilities. PATIENT LEGAL STATUS: The majority of our clients have been referred by the criminal courts, initially as incompetent to proceed to trial or as not guilty by reason of mental disease or defect (NGRI). A small percentage of those who come to FSH as incompetent to stand trial (IST) are eventually found permanently incompetent to stand trial (PIST) and remain ...here receiving treatment to be safely transitioned into the community. Currently, about 20% of our clients were committed by the courts as incompetent to proceed to trial. Most of those clients will be restored to competency and discharged within about 5-10 months. Approximately 25% have been found PIST. Another 15% are committed as NGRI and about 25% were civilly committed as Sexually Violent Predators (SVP). The remaining 15% have been admitted at the request of their guardians (voluntary by guardian, VBG). The length of stay for each client varies based on their legal status, recovery process, severity of mental illness, and motivation for discharge as well as the availability of space a receiving facilities. PATIENT TREATMENT PROGRAMMING: Once legal status has been determined as SVP, PIST, NGRI, or VBG, clients receive their treatment on our long-term treatment and rehabilitation programs that emphasize evidence-based treatment. These programs treat clients with diverse clinical presentations. Clinically, individuals served at FSH have a wide range of diagnoses, covering virtually all the major categories of the DSM-5. The most common primary diagnoses include schizophrenia-spectrum disorders, mood disorders, intellectual disabilities, personality disorders, and paraphilic disorders.

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Connections working at Fulton State Hospital - PGY-2 Psychiatric Pharmacy Residency Program