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VA Nebraska-Western Iowa Health Care System

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PGY-1 Pharmacy Residency Program

The Grand Island VA Medical Center offers a high volume of outpatient primary care and mental health visits to Veterans in rural Nebraska. We have several specialty clinics onsite as well, including: outpatient ortho, radiology, respiratory, urology, dermatology, nutrition, eye clinic, wound/foot clinic. The Grand Island VA is home to the Community Living Center (CLC) which offers sub-acute and long-term care, as well as palliative/hospice care. We have a 30-day inpatient substance abuse treatment program which provides rehabilitation for Veterans with substance and alcohol abuse disorders.

Established in 2005, the PGY1 residency program boasts a well-rounded clinical pharmacy experience that focuses on ambulatory care and the long-term care setting. Throughout the course of this one-year program, residents will further develop their skills in drug information, pharmacy administration, time management, organizational skills, as well as polish verbal and written communication skills. During the year, the residents will have many opportunities to assist with precepting pharmacy students which will foster the transition from pharmacy student to clinical pharmacist or instructor. In addition, residents will be responsible for providing education to patients, nurses, pharmacists and other health care providers. PGY1 residents may apply for early commitment to the PGY2 Ambulatory Care program at the Grand Island VA.

Pharmacy clinical practice at the GIVA goes back over 30 years, so the autonomy that pharmacist have is unmatched! Our pharmacist-run ambulatory care clinics are high volume; residents will gain experience working in a fast-pace clinic environment with close relationships with primary care providers. On average 8-15 patients per day are scheduled between face-to-face and phone appointments. Clinical pharmacists manage a wide variety of chronic diseases, including, but not limited to: anticoagulation, hyperlipidemia, hypertension, diabetes, smoking cessation, congestive heart failure, thyroid disease, anemia, pain management, kinetics and hospice/palliative care. Unique to the VA, pharmacists have prescriptive authority in areas of expertise, and thus act as mid-level providers. Residents are included in this opportunity to practice at the top of their license. Residents will also experience pharmacy management on multiple levels, both on site management, as well as from the perspective of the Chief and Associate Chief of Pharmacy.

Finally, 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.



Lisa Bilslend, Pharm.D, BCACP
Residency Program Director
Grand Island VA Community-Based Outpatient Clinic
308-382-3660 Ext. 92678