PGY2 Ambulatory Care Residency

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Organization Type: 
Not For Profit
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Independent Study
Self Reflection Activities
Experiential not including services to patients
Experiential including clinical contact with patients
Program Description: 

The Post Graduate Year 2 (PGY2) Ambulatory Care Pharmacy Residency at CoxHealth is a 12 month program that builds upon competencies achieved in a PGY1 pharmacy residency. This program is designed to prepare residents to function independently in an ambulatory care practice setting and is partnered with the CoxHealth Family Medical Care Center (FMCC), which has achieved recognition from the National Committee for Quality Assurance as a level three physician practice connections-patient centered medical home (PCC-PCMH). 

The residency includes five longitudinal experiences with elective rotations:

  1. Ambulatory Care Clinic - pharmacy residents assist with the provision of pharmaceutical care and disease state management for patients ranging from newborns to geriatrics; PGY2 residents also see patients independently in the pharmacist-managed clinic under its collaborative practice agreement.
  2. Residency Project - each resident conducts a clinical, humanistic or economic outcomes analysis of an ambulatory care service throughout the 12 months and presents this data at professional meetings.
  3. Teaching/Education – serves as a preceptor for advanced practice pharmacy students and PGY1 pharmacy residents; serves as a pharmacy resource for medical residents and other members of the FMCC health care team; may participate in a residency teaching certificate program.
  4. Leadership/Practice Management - establishes professional relationships with FMCC staff, patients and their caregivers; opportunities to aid physicians in optimizing disease state management by enhancing existing clinic services through updating treatment algorithms and protocols; develop new pharmacist-physician collaborative practice agreement to continue the enhancement of patient care.
  5. Staffing Component - consisting of one four-hour shift each week and every third Saturday at CoxHealth Convenient Care Pharmacy or Faith Community Health Free Medical Clinic in Branson.

Currently, the program is pending its site evaluation for accreditation from the American Society of Health-System Pharmacists (ASHP). 

Targeted Professions
Ambulatory Care
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Assessment of biopsychosocial needs across the lifespan
Population-based approaches to health care delivery
Risk identification
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Health information technology, including e-communications with patients & other providers
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Business models for patient-centered integrated care
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.


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