VA Nebraska-Western Iowa Health Care System
PGY2 Ambulatory Care Residency Program
We will be at the ASHP Midyear Clinical Meeting:
Residency Showcase on Monday, December 9th from 1:00 pm – 4:00 pm Booth 4056
We will also be participating in the Virtual Residency Showcase on Wednesday, December 18th from 11am-5pm EST
The Grand Island VA Medical Center offers a high volume of outpatient primary care and mental health visits to Veterans in rural Nebraska, serving over 10,000 Veterans annually. The GI VA also has several specialty clinics onsite as well, including: outpatient orthopedics, radiology, respiratory, urology, dermatology, nutrition, eye and wound/foot clinic.
Clinical pharmacy practice is well established and providers heavily rely on pharmacists for chronic disease management and drug information. Pharmacist have been integrated in the primary care setting for over 30 years and work as mid-level providers under a general scope of practice. PGY2 residents will be afforded a similar degree of autonomy. PGY2 residents will longitudinally manage complex patients and will develop advanced skill in the management of hyperlipidemia, diabetes, hypertension, tobacco cessation, chronic pain, congestive heart failure, anticoagulation and mental health. PGY2 residents will develop effective patient relationships and see the results of their interventions throughout the year. On average 8-12 patients per day are scheduled between face-to-face and phone appointments.
As a part of the Nebraska-Western Iowa (NWI) integrated healthcare system, PGY2 residents will complete rotations at the Omaha VA, as well as the satellite clinic in North Platte, NE (housing provided). In this unique rural environment, the pharmacist manages multiple disease states, maintains regulatory compliance of the limited pharmacy stock, provides drug information to providers and assists with access to medications in the community. While rotating through the Omaha VA, PGY2 residents will gain experience in advanced management of mental health and chronic pain/whole health. There are several opportunities for electives at the Omaha and Lincoln VA’s as well.
NWI has recently initiated Academic Detailing services for providers. Academic Detailing (AD) is service-oriented outreach education for health care professionals by health care professionals; leveraging the one-on-one communication approach of pharmaceutical industry detailers combined with the evidence-based, non-commercial aims of academic groups, research, and development centers. PGY2 residents will work with current Detailers to deliver one-on-one outreach to providers. Additionally, residents will be required to design, conduct, and complete research project suitable for publishing during the year. Residents present their results at the Midwest Pharmacy Residency Conference in May.
The Grand Island VA has a well-established PGY1 program and provides APPE rotation experience for students from Creighton University and the Nebraska Medical Center. Using the layered learning model, PGY2 residents will assist in precepting both PGY1 residents and APPE students. An online teaching certificate program is offered through Creighton University if interested.