Psychiatric Pharmacy Practice Residency at South Texas Veterans Health Care System – San Antonio

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


 

CONTACT:

Lindsey Garner, Pharm.D., MBA, BCPS, BCPP
Acting PGY-2 Psychiatric Pharmacy Residency Program Director
Clinical Pharmacy Specialist – Psychiatry
South Texas Veterans Health Care System
Audie Murphy Division (119)
7400 Merton Minter Blvd.
San Antonio, TX 78284
Lindsey.Garner@va.gov

 


LOCATION: LENGTH OF RESIDENCY: START DATE: NUMBER OF POSITIONS:
San Antonio, Texas 1 year Early July 2

REQUIREMENTS:
U.S. citizen
Pharm.D. degree from ACPE-accredited institution.
Eligible to practice pharmacy in Texas.
An ASHP accredited Pharmacy Practice Residency (PGY-1).


STIPEND:
Competitive salary plus an attractive benefits package, vacation (13 days) and sick leave (13 days). Health insurance is available.


DESCRIPTION:

The Psychiatric Pharmacy Practice Residency at the South Texas Veterans Health Care System, in conjunction with The University of Texas College of Pharmacy, is accredited by the American Society of Health-System Pharmacists since 2005.  This comprehensive, post-doctoral clinical pharmacy training program is designed to produce a clinician with the skills necessary to provide comprehensive pharmaceutical care to psychiatric patients in a variety of practice settings, including acute inpatient units, primary care clinics, and long-term care.  Other intended outcomes for residents completing this program include:  (1) the ability to function both as an independent practitioner (under a scope of practice) and as a member of multidisciplinary treatment teams providing care to psychiatric patients; (2) to serve as an educator for mentally ill patients, family members, pharmacy students, and health care providers; (3) to exhibit leadership and management skills in a professional manner; (4) to display characteristics of professional and personal self-growth as a psychiatric health care practitioner; (5) and to demonstrate the ability to proactively identify and meet opportunities available in the provision of pharmaceutical care to the psychiatric population.

The Audie L. Murphy Memorial Veterans Hospital is a 350-bed facility a 25-bed inpatient male psychiatric unit, an 8-bed inpatient female psychiatric unit, a substance abuse treatment facility, a psychiatric emergency intake center, and a general clinical research unit.  The facility is located in northwest San Antonio and provides primary, secondary, and tertiary health care in medicine, psychiatry, surgery, and rehabilitation medicine to serve the health care needs of area veterans. The Pharmacy Service offers 24-hour coverage, decentralized unit-dose drug distribution, complete IV-admixture program, and clinical services.

The resident will participate in clinical pharmacy activities at the Audie L. Murphy (ALM) Hospital and its affiliated clinics.  The resident spends a minimum of three months as an active member of one of the ALM inpatient psychiatry teams. The patient population on these units is largely comprised of those suffering from post-traumatic stress disorder, depression, schizophrenia, bipolar disorder, as well as detoxification/substance abuse. As a member of the team, the psychiatric pharmacy resident is responsible for participating in the design and implementation of appropriate therapeutic regimens, monitoring outcomes, assisting in the application of pharmacokinetic principles to individualize therapy as needed, and the provision of patient, disease and drug specific information to other members of the team.  The resident also spends a minimum of three months rotating through outpatient psychiatry clinics. Experiences in smoking Cessation Clinic, Clozapine Clinic and PRIME Psych Pharmacotherapy Clinic are also offered. These experiences allow the resident to gain ambulatory care experience with a variety of patient populations. In these settings the psychiatric pharmacist is responsible for patient assessment and pharmacologic management of patients’ mental illnesses. There is a required 6-month longitudinal experience in the PRIME psychiatry clinic.  Here, the multidisciplinary team meets weekly to discuss patients who have serious mental illness, many of which are on clozapine. As a member of the team the resident is required to provide inservices on psychopharmacology, drug information, treatment guidelines, literature updates, pharmacoeconomics, and other information as requested.  Lastly, geriatric psychiatry, neurology, and substance abuse are required experiences.

Elective rotations are offered to individuals based on the strengths and weaknesses of the trainee. Areas where elective rotations are provided include: primary care complex pain, forensics, psychiatric emergency services/consult liaison, PRIME psychiatry, PCMHI longitudinal, and substance abuse/domiciliary care for homeless veterans longitudinal.  Flexibility makes the residency able to provide important experience and training in selected areas that will enable the resident to be broadly functional and competitive for future career options.

The resident will be responsible for conducting an independent research project and is required to present his or her project as a research poster at a local or national conference.

To ensure that the goals and objectives established for each resident are being met, the resident meets regularly with the primary preceptors to discuss patients, assigned topics for discussion, or other issues as necessary. During the course of the year, readings in the major topics in psychiatry will be assigned and discussed with the resident. The resident also participates in the weekly Psychiatric Pharmacy Journal Club and weekly case conference discussions, and attends a number of other available conferences, such as Psychiatry Grand Rounds, Seminars in Pharmacotherapy and Pharmacotherapy Rounds. The resident is required to present at Pharmacotherapy Rounds.

The residency will follow the Psychiatry specific Specialty Residency Standards and Objectives established by ASHP.

The resident is an employee of the Department of Veterans Affairs, directly responsible to the Associate Chief of Clinical Pharmacy Programs, Dr. Cynthia Gutierrez. Daily guidance and supervision will be provided by the resident’s director, Dr. Lindsey Garner and residency coordinator, Dr. Isaac Pan, and other clinical preceptors.

 


PREVIOUS RESIDENTS INCLUDE:

  • Alisha Donat, Pharm.D., BCPP (2018-2019) Clinical Pharmacy Specialist, Primary Care Mental Health Integration, Audie L. Murphy, STVHCS
  • Heather Rozea Cooper, Pharm.D., BCPP (2018-2019) Clinical Pharmacy Specialist, Geriatric and Palliative Medicine, UTHealth Houston
  • Raeschell (Shelly) Williams, Pharm.D., MPH, BCPS, BCPP (2018-2019) Clinical Pharmacy Specialist, Primary Care Mental Health Integration, North Central Federal Clinic, STVHCS
  • Lindsey Garner, Pharm.D., MBA, BCPS, BCPP (2017-2018) Clinical Pharmacy Specialist, Mental Health, North Central Federal Clinic, STVHCS; Acting Residency Program Director for PGY-2 Psychiatric Pharmacy Program
  • Lauren Brown, PharmD, BCPP (2016-2017) Clinical Pharmacy Specialist, Mental Health (Telehealth),  Kerrville Outpatient Clinic, STVHCS
  • Bryan Sackey, PharmD, BCPS, AAHIVP, BCPP (2016-2017) Clinical Pharmacy Specialist, Primary Care Mental Health Integration, Frank Tejeda Outpatient Clinic, STVHCS
  • Julienne Pauly, PharmD, BCPP (2016-2017) Clinical Pharmacy Specialist, Mental Health, Orlando VA Medical Center
  • Ilona Shishko Almeida, Pharm.D., BCPP (2015-2016) Clinical Pharmacy Specialist, Mental Health, Manchester New Hampshire VA
  • Van Nguyen, Pharm.D. (2015-2016) Outpatient Psychiatric Pharmacist, Pathways to Wellness, Oakland, CA
  • Chinelo Oji, Pharm.D., BCPP, MPH (2014-2015) Clinical Pharmacist, Inpatient, Michael E. DeBakey VA Medical Center
  • Rosana Steavenson, Pharm.D., BCPS, BCPP (2013-2014) Program Manager, Mental Health Clinical Pharmacy Programs, STVHCS; Clinical Pharmacy Specialist,  Mental Health, Frank Tejeda Outpatient Clinic, STVHCS
  • Chelsie Heesch, Pharm.D., BCPP (2013-2014) Mental Health Clinical Pharmacy Specialist, Tomah VA Health Care System
  • Marie-Therese Jackson, Pharm.D., BCPP (2012-2013) Clinical Pharmacy Specialist, Primary Care Mental Health Integration (Telehealth), South Bexar and Kerrville Outpatient Clinics, STVHCS
  • Nicole Cupples, Pharm.D., BCPS, BCPP (2011-2012) Clinical Pharmacy Specialist, Inpatient Psychiatry, STVHCS
  • Matthew Stanley, Pharm.D., BCPP (2010-2011) Clinical Pharmacy Specialist, Primary Care Mental Health Integration, Shavano Park Outpatient Clinic, STVHCS
  • Ashley Smith, Pharm.D., BCPP (2009-2010) Clinical Pharmacy Specialist – Psychiatry, VA Central Iowa Health Care System
  • Phillip Lai, Pharm.D., BCPP (2008-2009) Medical Science Liaison – Neuroscience,, Otsuka Pharmaceutical Development and Commercialization
  • Holly Winkler, Pharm.D., BCPP (2007-2008) Clinical Pharmacy Specialist, Primary Care Mental Health Integration (Telehealth), San Antonio Annex Clinics, STVHCS
  • Lindsay Hedgepeth Kennedy, Pharm.D., BCPS (2006-2007) Clinical Specialist in Psychiatry,  UNC Healthcare, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
  • Jodie V. Malhotra, Pharm.D. (2005-2006) International Affairs Coordinator and Assistant Professor, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado
  • Troy A. Moore, Pharm.D., M.Sc., BCPP (2004-2005) Clinical Pharmacy Specialist, Mental Health; PGY-1 Pharmacy Residency Program Director, VA Eastern Colorado Health Care System

 


The University of Texas at Austin and its affiliated institutions are an Equal Opportunity/Affirmative Action Employer. Qualified women and minorities are encouraged to apply. Security sensitive; conviction verification conducted on applicant selected.


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