Internal Medicine at South Texas Veterans Health Care System – San Antionio

South Texas Veterans Health Care System, Audie Murphy Hospital in conjunction with College of Pharmacy, The University of Texas at Austin


WongCONTACT:

Mark Wong, Pharm.D., BCPS, CGP
South Texas Veterans Health Care System (STVHCS)
Audie Murphy Division (119)
7400 Merton Minter Blvd.
San Antonio, TX 78229
mark.wong@va.gov


LOCATION:
San Antonio, Texas


LENGTH OF RESIDENCY:
1 year


START DATE:
July 1


REQUIREMENTS:
Pharm.D. degree from ACPE-accredited institution.
Eligible for licensure in Texas.
An accredited Pharmacy Practice Residency


STIPEND:
Competitive salary plus generous vacation (13 days) and sick leave (13 days). Health insurance is available.


The Internal Medicine Pharmacy Residency is designed to provide a training opportunity for individuals desiring to enhance their clinical competency in the field of internal medicine. The 12-month training period heavily emphasizes inpatient acute care rotations with a longitudinal ambulatory care rotation.

The resident spends a minimum of six months rounding with one of the 5 medicine teams at the STVHCS, and if available at the affiliated county teaching hospital, University Health (UH) System’s Hospital. A medicine team at the STVHCS, consisting of an attending physician, medicine resident, two medical interns, and medical students, typically cares for 8-16 patients daily. As a member of the team, the pharmacy resident is responsible for completing an accurate medication reconciliation on admission and discharge, participating in the design and implementation of appropriate therapeutic regimens, monitoring the outcome of therapy, assisting in the application of pharmacokinetic principles to individualize therapy as needed, and in the provision of patient education on discharge. Also, depending on preceptor availability, the resident will have opportunities, if desired, to co-precept PGY1 residents or pharmacy students as well as potentially provide lectures to pharmacy students at a local college of pharmacy.

The resident will also be required to spend a minimum of one month rotating through the Medical ICU and one in the Surgical ICU to enhance critical care experience from their PGY1 year.  The resident will then have 2-3 remaining months for electives.  STVHCS offers available electives in areas such as Home Based Primary Care, Ambulatory Care, HIV/Hep C, Neuroseizure/Spinal Cord, Heme/Onc, Renal, Psychiatry, and Cardiology.  The affiliated UH hospital also has potential rotations that could be set up with advance notice that includes the Emergency Department, Internal Medicine, Bone Marrow Transplant, and Critical Care. You will be required to have a Texas Pharmacy license for this.

In addition to the monthly rotations, the resident is assigned to the Geriatric ambulatory care clinic for one half-day a week for approximately 9 months. Here the resident learns how to care for geriatric patients in an ambulatory care setting, The resident is responsible for participating in the design and implementation of the appropriate therapeutic regimens, monitoring the outcome of therapy, and intensive patient counseling.

As part of the longitudinal experience in practice management, the resident will be responsible for handling multiple projects and presentations.  The resident will be required to have an independent research project in an area of internal medicine. In addition, the resident is expected to participate in ongoing collaborative research projects.

During the residency, the resident will learn the journal submission process, and will be required to submit a manuscript to a professional journal. This can be a book chapter, case report with literature review, review article, or original research article.

The resident is jointly appointed as a Clinical Instructor in the Department of Pharmacology, The University of Texas Health Science Center at San Antonio and the College of Pharmacy, The University of Texas at Austin. In this capacity, the resident may be asked to help participate in didactic lectures or in pharmacotherapy lab discussions.  Along with the other residents, the resident will have to present on a topic of their choice to the other residents and faculty during the year.  During the course of the year, readings will be assigned and discussed with the resident. The resident will also participate in the journal clubs and discussions set forth by the primary preceptors or director.

The residency will follow the goals and objectives set forth by ASHP.


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